License Directory

Providence Health System Southern California Dba Providence Holy

Active

California license 100894

License

Licensed by
California State Board of Pharmacy
License number
100894
Status
Active
First issued
March 7, 2016
Expires
December 1, 2026
Entity type
Organization

Classifications

  • Resident Licensed Sterile Compounding Pharmacy

More from the license record

License type code
LSC

Other California licenses under this name

Contact

11333 N Sepulveda Blvd Room 3326 3327
Mission Hills, CA 91345
Los Angeles County