Licensee Name:MED-FAST PHARMACY
License Type:NON RESIDENT PHARMACY
License Number:1239
License Status:CANCELLED Definition
Expiration Date:November 01, 2013
Issue Date:November 08, 2012
Address:2007 SHEFFIELD RD
City:ALIQUIPPA
State:PA
Zip:15001
County:OUT OF STATE
Actions:No
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