Licensee Name:ONCOLOGY SUPPLY PHARMACY SERVICES
License Type:NONRESIDENT STERILE COMPOUNDING
License Number:99496
License Status:CANCELLED Definition
Expiration Date:March 01, 2014
Issue Date:May 04, 2009
Address:2811 HORACE SHEPARD DR STE A
City:DOTHAN
State:AL
Zip:36303
County:OUT OF STATE
Actions:No
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