Licensee Name:KAISER PERMANENTE PHARMACY #922
License Type:LICENSED STERILE COMPOUNDING
License Number:100180
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:May 27, 2014
Address:2500 MERCED ST, 2ND FL, ROOM 2966
City:SAN LEANDRO
State:CA
Zip:94577-4201
County:ALAMEDA
Actions:No
NumberNameTypeStatus
36405VALLORTIGARA JAY EDWARDREGISTERED PHARMACISTCLEAR
51911KAISER PERMANENTE PHARMACY #922RETAIL PHARMACYCLEAR

Comments