Licensee Name:LOS ANGELES CO MID VALLEY HLTH CTR PHY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:43664
License Status:CANCELLED Definition
Expiration Date:July 01, 2001
Issue Date:July 15, 1998
Address:8121 VAN NUYS BLVD
City:PANORAMA CITY
State:CA
Zip:91402
County:LOS ANGELES
Actions:No
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