License Directory

Kaiser Permanente Phy #193

Active

California license 99962

License

Licensed by
California State Board of Pharmacy
License number
99962
Status
Active
First issued
June 17, 2014
Expired
November 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

17296 Slover Ave Palm Ct 1
Rm 1527 1529 1530
Fontana, CA 92337-7589
San Bernardino County