Kaiser Permanente Phy #193
ActiveCalifornia 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
-
CA
ActiveFontana, CAExpired Nov 1, 2026
Contact
17296 Slover Ave Palm Ct 1
Rm 1527 1529 1530
Fontana, CA 92337-7589
Rm 1527 1529 1530
Fontana, CA 92337-7589
San Bernardino County