Licensee Name:KAISER PERMANENTE PHARMACY #531C
License Type:LICENSED STERILE COMPOUNDING
License Number:99820
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:April 29, 2013
Address:27200 IRIS AVE MOB 2 FL 3
City:MORENO VALLEY
State:CA
Zip:92555-4802
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
42045RICH JEAN AREGISTERED PHARMACISTCLEAR
51290KAISER PERMANENTE PHARMACY #531CRETAIL PHARMACYCLEAR
63159BERGERE HANH TRANREGISTERED PHARMACISTCLEAR

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