Licensee Name:BARSTOW COMMUNITY HOSPITAL
License Type:LICENSED STERILE COMPOUNDING
License Number:100273
License Status:CLEAR Definition
Expiration Date:October 01, 2015
Issue Date:June 09, 2014
Address:820 E MOUNTAIN VIEW ST
City:BARSTOW
State:CA
Zip:92311
County:SAN BERNARDINO
Actions:No
NumberNameTypeStatus
35592HOM DENNIS MICHAELREGISTERED PHARMACISTCLEAR
51112BARSTOW COMMUNITY HOSPITALHOSPITAL PHARMACY CLEAR

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