Licensee Name:WALGREENS #07867
License Type:RETAIL PHARMACY
License Number:53028
License Status:CLEAR Definition
Expiration Date:May 22, 2015
Issue Date:December 31, 2014
Address:1430 EASTLAKE PKWY
City:CHULA VISTA
State:CA
Zip:91915
County:SAN DIEGO
Actions:No
NumberNameTypeStatus
50828BAUZON MARY JOY MREGISTERED PHARMACISTCLEAR

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