Licensee Name:RELIANCE SPECIALTY INFUSION
License Type:NON RESIDENT PHARMACY
License Number:1374
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 14, 2013
Address:2920 E MOHAWK LANE STE 114
City:PHOENIX
State:AZ
Zip:85050
County:OUT OF STATE
Actions:No
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