Licensee Name:WALGREENS SPECIALTY PHARMACY #12314
License Type:NON RESIDENT PHARMACY
License Number:1108
License Status:CANCELLED Definition
Expiration Date:December 31, 2014
Issue Date:April 21, 2011
Address:9775 SW GEMINI DR STE 1
City:BEAVERTON
State:OR
Zip:97008
County:OUT OF STATE
Actions:No
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