Utah
Division of Occupational and Professional Licensing
FIRST CLASS PHARMACY #5999
Pharmacy - Pharmacy Class D
License number
331505-1708
Date granted
11/26/1996
Date expires
08/21/1997
Class
Pharmacy - Pharmacy Class D
Status
Surrendered
Address
WILSONVILLE, OR 97070
utahlicensing.org
ID 29881176
LAST UPDATED 2026-05-12 23:57:29 UTC
LAST UPDATED 2026-05-12 23:57:29 UTC
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