Licensee Name:KAISER PERMANENTE PHARMACY #632
License Type:LICENSED STERILE COMPOUNDING
License Number:99055
License Status:CANCELLED Definition
Expiration Date:November 01, 2013
Issue Date:July 01, 2003
Address:3733 SAN DIMAS ST STE 105
City:BAKERSFIELD
State:CA
Zip:93301
County:KERN
Actions:No
NumberNameTypeStatus
41007KAISER PERMANENTE PHARMACY 632RETAIL PHARMACYCANCELLED

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