Licensee Name:BELVILLE PHARMACY SERVICES
License Type:LICENSED STERILE COMPOUNDING
License Number:99001
License Status:CANCELLED Definition
Expiration Date:January 01, 2005
Issue Date:July 01, 2003
Address:5825 OBERLIN DR STE 300
City:SAN DIEGO
State:CA
Zip:92121
County:SAN DIEGO
Actions:No
NumberNameTypeStatus
45663BELVILLE PHARMACY SERVICESRETAIL PHARMACYCANCELLED

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