Licensee Name:KAISER PERMANENTE PHARMACY #514
License Type:LICENSED STERILE COMPOUNDING
License Number:99814
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:March 14, 2013
Address:1425 S MAIN ST 2ND FL
City:WALNUT CREEK
State:CA
Zip:94596-5318
County:CONTRA COSTA
Actions:No
NumberNameTypeStatus
39418SOROOSHIAN HORMOZANREGISTERED PHARMACISTCLEAR
46988KAISER PERMANENTE PHARMACY #514RETAIL PHARMACYCLEAR

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