Licensee Name:INDIAN HEALTH COUNCIL PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:30519
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:May 01, 1984
Address:50100 GOLSH RD P O BOX 406
City:PAUMA VALLEY
State:CA
Zip:92061
County:SAN DIEGO
Actions:No
NumberNameTypeStatus
29530SCHOSTAG ROBERT JAMES JRREGISTERED PHARMACISTCLEAR

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