Licensee Name:PHARMACARE DIRECT NO 4991
License Type:NON RESIDENT PHARMACY
License Number:387
License Status:CANCELLED Definition
Expiration Date:December 01, 2007
Issue Date:December 11, 2000
Address:6820 FAIRFIELD BUSINESS PARK DR
City:FAIRFIELD
State:OH
Zip:45014
County:OUT OF STATE
Actions:No
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