License holder summary

KAISER HEALTH PLAN PHY 201 is a Pharmacy - Licensed Sterile Compounding licensed to practice in California. The address on file for KAISER HEALTH PLAN PHY 201 is 3900 LAKEVILLE HWY PETALUMA CA 94954-5698. This licensed professional license is current. The license was granted 07/27/2012 and expired on 11/01/2016.

California

Department of Consumer Affairs

KAISER HEALTH PLAN PHY 201
Pharmacy - Licensed Sterile Compounding
License number
99759
Date granted
07/27/2012
Date expires
11/01/2016
Class
Pharmacy - Licensed Sterile Compounding
Status
Clear
Address
3900 LAKEVILLE HWY PETALUMA CA 94954-5698
californialicensing.org
ID 11662506
LAST UPDATED 2026-05-11 05:12:08 UTC

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