Licensee Name:KAISER ONCOLOGY PHARMACY #597
License Type:LICENSED STERILE COMPOUNDING
License Number:99537
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 13, 2009
Address:1600 EUREKA RD MOB 2
City:ROSEVILLE
State:CA
Zip:95661-3027
County:PLACER
Actions:No
NumberNameTypeStatus
39160GARRISON KATHRYN ANNEREGISTERED PHARMACISTCLEAR
49787KAISER ONCOLOGY PHARMACY #597RETAIL PHARMACYCLEAR

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