Licensee Name:KECK HOSPITAL OF USC ORANGE COUNTY PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100681
License Status:CLEAR Definition
Expiration Date:December 01, 2015
Issue Date:December 11, 2014
Address:300 OLD NEWPORT BLVD
City:NEWPORT BEACH
State:CA
Zip:92663
County:ORANGE
Actions:No
NumberNameTypeStatus
52262LE KIM NGOCREGISTERED PHARMACISTCLEAR
52515KECK HOSPITAL OF USC ORANGE COUNTY PHARMACYRETAIL PHARMACYCLEAR

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