Licensee Name:UCLA MED CTR MEDICAL PLAZA LEVEL 1 PHY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:40977
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:August 07, 1995
Address:200 MEDICAL PLAZA SUITE 135
City:LOS ANGELES
State:CA
Zip:90095-6949
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
100542UCLA MED CTR MEDICAL PLAZA LEVERL 1 PHYGOVERNMENT OWNED PHARMACY OR HOSPITALCLEAR
68597BUI TONY HOAN NHATREGISTERED PHARMACISTCLEAR

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