Licensee Name:ROYAL PALM SPECIALTY PHARMACY
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99711
License Status:CANCELLED Definition
Expiration Date:September 01, 2013
Issue Date:October 10, 2011
Address:118 MAIN ST
City:WEBSTER
State:MA
Zip:01570
County:OUT OF STATE
Actions:No
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