Licensee Name:VALLEY HEALTH CENTER AT BASCOM PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:32327
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 01, 1986
Address:750 SOUTH BASCOM AVE
City:SAN JOSE
State:CA
Zip:95128
County:SANTA CLARA
Actions:No
NumberNameTypeStatus
59471SAGAD NINA BAGANGREGISTERED PHARMACISTCLEAR

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