Licensee Name:RONALD REAGAN UCLA OUTPATIENT PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:48971
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:February 01, 2008
Address:662 GAYLEY AVE RM B140B
City:LOS ANGELES
State:CA
Zip:90095
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
37026SPENTZOS EFFIE PREGISTERED PHARMACISTCLEAR

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