Licensee Name:BARTON MEMORIAL HOSPITAL PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100403
License Status:CLEAR Definition
Expiration Date:February 01, 2016
Issue Date:June 30, 2014
Address:2170 SOUTH AVENUE
City:SOUTH LAKE TAHOE
State:CA
Zip:96150
County:EL DORADO
Actions:No
NumberNameTypeStatus
21312BARTON MEMORIAL HOSP PHARMACYHOSPITAL PHARMACY CLEAR
33004CHERRY TERRIANN HUGHESREGISTERED PHARMACISTCLEAR

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