Licensee Name:AMERICAN CUSTOM COMPOUNDING PHARMACY
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99778
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 08, 2012
Address:2607 WALNUT HILL LANE STE 220
City:DALLAS
State:TX
Zip:75229
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
1262AMERICAN CUSTOM COMPOUNDING PHARMACYNON RESIDENT PHARMACY CLEAR

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