License Directory

St Mary Medical Center Dba Providence St Mary Medical Center

Active

California license 101562

License

Licensed by
California State Board of Pharmacy
License number
101562
Status
Active
First issued
March 15, 2022
Expires
July 1, 2027
Entity type
Organization

Classifications

  • Resident Licensed Sterile Compounding Pharmacy

More from the license record

License type code
LSC

Contact

18300 Hwy 18
2-214
Apple Valley, CA 92307
San Bernardino County