Licensee Name:RIVERSIDE COUNTY REGIONAL MEDICAL CENTER MENTAL HEALTH PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:51261
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 07, 2014
Address:9990 COUNTY FARM RD
City:RIVERSIDE
State:CA
Zip:92503
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
59063MITCHELL MELISSA MARIEREGISTERED PHARMACISTCLEAR

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