Licensee Name:FREEDOM FP FERTILITY PHARMACY
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99731
License Status:CANCELLED Definition
Expiration Date:July 01, 2013
Issue Date:July 17, 2012
Address:12 KENT WAY STE 120E
City:BYFIELD
State:MA
Zip:01922
County:OUT OF STATE
Actions:No
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