Licensee Name:KAISER PERMANENTE PHARMACY 278
License Type:LICENSED STERILE COMPOUNDING
License Number:99528
License Status:CANCELLED Definition
Expiration Date:September 13, 2014
Issue Date:September 25, 2008
Address:43112 N 15TH ST RM I
City:LANCASTER
State:CA
Zip:93534
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
43120KAISER PERMANENTE PHARMACY 278RETAIL PHARMACYCANCELLED

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