Licensee Name:LOS ANGELES CO WILMINGTON HLTH CTR PHY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:42177
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:March 11, 1997
Address:1325 BROAD AVENUE
City:WILMINGTON
State:CA
Zip:90744
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
49652PHUNG STEVEN BAREGISTERED PHARMACISTCLEAR

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