Licensee Name:KAWEAH DELTA EMPLOYEE PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:47013
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 27, 2005
Address:602 W WILLOW AVE STE B
City:VISALIA
State:CA
Zip:93291
County:TULARE
Actions:No
NumberNameTypeStatus
57019GABALLA FADYREGISTERED PHARMACISTCLEAR

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