Licensee Name:ROYAL PALM COMPOUNDING PHARMACY LLC
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99568
License Status:CANCELLED Definition
Expiration Date:May 01, 2012
Issue Date:July 20, 2010
Address:117 S STATE RD 7 STE 201
City:WELLINGTON
State:FL
Zip:33414
County:OUT OF STATE
Actions:No
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