Licensee Name:MORONGO INDIAN CLINIC PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:32790
License Status:CANCELLED Definition
Expiration Date:November 01, 1996
Issue Date:October 22, 1986
Address:11555 1/2 POTRERO ROAD
City:BANNING
State:CA
Zip:92220
County:RIVERSIDE
Actions:No
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