Licensee Name:NATIONAL DIABETIC ASSISTANCE CORP
License Type:NON RESIDENT PHARMACY
License Number:462
License Status:DELINQUENT Definition
Expiration Date:May 01, 2005
Issue Date:May 22, 2002
Address:11402 WEST SAMPLE RD
City:CORAL SPRINGS
State:FL
Zip:33065
County:OUT OF STATE
Actions:No
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