Licensee Name:AXIUM HEALTHCARE PHARMACY INC
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99198
License Status:CANCELLED Definition
Expiration Date:August 01, 2006
Issue Date:April 19, 2004
Address:285 CENTRAL PARKWAY #1720
City:ALTAMONTE SPRINGS
State:FL
Zip:32714
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
375AXIUM HEALTHCARE PHARMACY INCNON RESIDENT PHARMACY CANCELLED

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