Licensee Name:AVELLA OF DEER VALLEY INC
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99593
License Status:CLEAR Definition
Expiration Date:July 01, 2015
Issue Date:October 01, 2009
Address:23620 N 20TH DR NO 12
City:PHOENIX
State:AZ
Zip:85085
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
991AVELLA OF DEER VALLEY INCNON RESIDENT PHARMACY CLEAR

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