Licensee Name:APOTHECARY SHOP OF ARROWHEAD
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99320
License Status:CANCELLED Definition
Expiration Date:September 01, 2009
Issue Date:November 15, 2005
Address:17612 N 59TH AVE
City:GLENDALE
State:AZ
Zip:85308
County:MARICOPA
Actions:No
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