Licensee Name:TREASURE COAST PHARMACY
License Type:NON RESIDENT PHARMACY
License Number:966
License Status:CANCELLED Definition
Expiration Date:April 01, 2012
Issue Date:April 21, 2009
Address:1114 NE JENSEN BEACH BLVD
City:JENSEN BEACH
State:FL
Zip:34957
County:OUT OF STATE
Actions:No
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