Licensee Name:SCVH & HS REFILL CENTER PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:47456
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:March 10, 2006
Address:871 ENBORG CT UNIT 200
City:SAN JOSE
State:CA
Zip:95128
County:SANTA CLARA
Actions:No
NumberNameTypeStatus
55211TAPIA GUILLERMO PADRE JRREGISTERED PHARMACISTCLEAR

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