Licensee Name:REVIVAL ANIMAL HEALTH
License Type:NON RESIDENT PHARMACY
License Number:1129
License Status:CLEAR Definition
Expiration Date:December 01, 2015
Issue Date:December 20, 2011
Address:1700 ALBANY PL SE
City:ORANGE CITY
State:IA
Zip:51041
County:OUT OF STATE
Actions:No
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