License Directory

Kaiser Foundation Hlth Mob 2 Phy #686

Active

California license 99104

License

Licensed by
California State Board of Pharmacy
License number
99104
Status
Active
First issued
July 10, 2003
Expired
November 1, 2026
Entity type
Organization

Classifications

  • Resident Licensed Sterile Compounding Pharmacy

More from the license record

License type code
LSC

Contact

7373 West Ln Rm L2c-19
Stockton, CA 95210
San Joaquin County