Shasta Nichole Grider
ActiveCalifornia license 21754
License
- Licensed by
- California State Board of Pharmacy
- License number
- 21754
- Status
- Active
- First issued
- May 24, 2012
- Expires
- May 1, 2027
- License holder
- Shasta Nichole Grider
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2012
- Degree
- Degree Not Applicable
Contact
211 Lonnie E. Crawford Blvd
Scottsboro, AL 35769
Scottsboro, AL 35769