Licensee Name:WALGREENS #09029
License Type:RETAIL PHARMACY
License Number:53144
License Status:CLEAR Definition
Expiration Date:May 22, 2015
Issue Date:December 31, 2014
Address:6416 TAMPA AVE
City:LOS ANGELES
State:CA
Zip:91335
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
57381ROSENTHAL KRITTAPORNREGISTERED PHARMACISTCLEAR

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