Licensee Name:KINDRED HOSPITAL RIVERSIDE
License Type:LICENSED STERILE COMPOUNDING
License Number:99653
License Status:CLEAR Definition
Expiration Date:February 01, 2016
Issue Date:December 08, 2010
Address:2224 MEDICAL CENTER DR
City:PERRIS
State:CA
Zip:92571-2638
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
46953BENNETT-MOBLEY PHYLLIS DENISEREGISTERED PHARMACISTCLEAR
50495KINDRED HOSPITAL RIVERSIDEHOSPITAL PHARMACY CLEAR

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