Licensee Name:PRIME THERAPEUTICS SPECIALTY PHARMACY LLC
License Type:NON RESIDENT PHARMACY
License Number:1264
License Status:CLEAR Definition
Expiration Date:January 01, 2016
Issue Date:January 25, 2013
Address:2354 COMMERCE PARK DR STE 100
City:ORLANDO
State:FL
Zip:32819
County:OUT OF STATE
Actions:No
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