Licensee Name:BASIC HOME INFUSION
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99559
License Status:CANCELLED Definition
Expiration Date:August 01, 2013
Issue Date:May 12, 2010
Address:1401 VALLEY ROAD 4TH FLOOR
City:WAYNE
State:NJ
Zip:07470
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
999BASIC HOME INFUSIONNON RESIDENT PHARMACY CANCELLED

Comments