Licensee Name:KINDRED HOSPITAL SOUTH BAY
License Type:LICENSED STERILE COMPOUNDING
License Number:99651
License Status:CLEAR Definition
Expiration Date:February 01, 2016
Issue Date:December 08, 2010
Address:1246 W 155TH ST
City:GARDENA
State:CA
Zip:90247-4011
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
50496KINDRED HOSPITAL SOUTH BAYHOSPITAL PHARMACY CLEAR
64818NAZARIAN ANNIEREGISTERED PHARMACISTCLEAR

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