Licensee Name:WILLOW PHARMACY INC
License Type:NON RESIDENT PHARMACY
License Number:1393
License Status:CLEAR Definition
Expiration Date:January 01, 2016
Issue Date:January 06, 2014
Address:1519 WEST HIGHWAY 22
MADISONVILLE CENTER STE 5
City:MADISONVILLE
State:LA
Zip:70447
County:OUT OF STATE
Actions:No
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