Licensee Name:KOMOTO CUSTOM CARE PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99071
License Status:CLEAR Definition
Expiration Date:September 01, 2015
Issue Date:July 01, 2003
Address:2110 TRUXTUN AVE SUITE 300
City:BAKERSFIELD
State:CA
Zip:93301
County:KERN
Actions:No
NumberNameTypeStatus
35651SAKAMOTO KIRK FORRESTREGISTERED PHARMACISTCLEAR
46042KOMOTO CUSTOM CARE PHARMACYRETAIL PHARMACYCLEAR

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