Licensee Name:VONS PHARMACY NO 1767
License Type:RETAIL PHARMACY
License Number:45999
License Status:CLEAR Definition
Expiration Date:March 01, 2015
Issue Date:June 21, 2002
Address:475 WEST MAIN ST
City:BRAWLEY
State:CA
Zip:92227
County:IMPERIAL
Actions:No
NumberNameTypeStatus
14SAFEWAY INC.HEADQUARTERSCLEAR
59191DE VERA DOMINGA MARQUEZREGISTERED PHARMACISTCLEAR

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