Licensee Name:KECK HOSPITAL OF USC 4TH FLOOR PHARMACY ROOM #4130
License Type:LICENSED STERILE COMPOUNDING
License Number:100237
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:May 29, 2014
Address:1500 SAN PABLO ST
City:LOS ANGELES
State:CA
Zip:90033
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
49863KECK HOSPITAL OF USCHOSPITAL PHARMACY CLEAR
52151MEGERDOMIAN CLARAREGISTERED PHARMACISTCLEAR

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