Licensee Name:OUTPATIENT PHY HARBOR UCLA MED CTR
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:36944
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 10, 1991
Address:1000 WEST CARSON STREET
City:TORRANCE
State:CA
Zip:90502
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
49364PHAM TAM NREGISTERED PHARMACISTCLEAR

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