Licensee Name:KAISER PERMANENTE PHARMACY #612
License Type:LICENSED STERILE COMPOUNDING
License Number:99850
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:July 09, 2013
Address:2620 CHESTER AVE STE 305
City:BAKERSFIELD
State:CA
Zip:93301-2015
County:KERN
Actions:No
NumberNameTypeStatus
32978SAYLES DANIEL THOMASREGISTERED PHARMACISTCLEAR
51479KAISER PERMANENTE PHARMACY #612RETAIL PHARMACYCLEAR

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