Licensee Name:UCSD INTERNAL MEDICINE GROUP CLINIC PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:48990
License Status:CANCELLED Definition
Expiration Date:November 01, 2014
Issue Date:February 13, 2008
Address:8939 VILLA LA JOLLA DR STE 129
City:LA JOLLA
State:CA
Zip:92037
County:SAN DIEGO
Actions:No
NumberNameTypeStatus
51290MCCLAIN KRISTIN MREGISTERED PHARMACISTCLEAR

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