Licensee Name:MEDCO HEALTH SOLUTIONS OF FAIRFIELD LLC
License Type:NON RESIDENT PHARMACY
License Number:1187
License Status:CANCELLED Definition
Expiration Date:May 23, 2014
Issue Date:July 17, 2012
Address:4865 DIXIE HWY
City:FAIRFIELD
State:OH
Zip:45014
County:OUT OF STATE
Actions:No
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