Licensee Name:PROSPERITY SPECIALTY PHARMACY
License Type:NON RESIDENT PHARMACY
License Number:1282
License Status:CANCELLED Definition
Expiration Date:June 01, 2014
Issue Date:June 05, 2013
Address:2924 TELESTAR CT
City:FALLS CHURCH
State:VA
Zip:22042-1206
County:OUT OF STATE
Actions:No
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