Licensee Name:KIMAW MEDICAL CENTER PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:43666
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:February 26, 1999
Address:535 AIRPORT ROAD
P O BOX 1288
City:HOOPA
State:CA
Zip:95546
County:HUMBOLDT
Actions:No
NumberNameTypeStatus
29401MERRILL CURTIS HOWARDREGISTERED PHARMACISTCLEAR

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