Blaine Andrew David Smith
ActiveCalifornia license 26714
License
- Licensed by
- California State Board of Pharmacy
- License number
- 26714
- Status
- Active
- First issued
- November 7, 2022
- Expired
- November 1, 2026
- License holder
- Blaine Andrew David Smith
- 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
- 2022
- Degree
- Degree Not Applicable
Contact
28556 Meadow Brook Ct
Lake Elsinore, CA 92530
Lake Elsinore, CA 92530
Riverside County