California
Department of Consumer Affairs
PHAN PHONG Q
Pharmacy - Designated Representative (Exemptees)
License number
22637
Date granted
12/27/2013
Date expires
12/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
10859 PARKDALE AVE SAN DIEGO CA 92126
californialicensing.org
ID 19871872
LAST UPDATED 2026-04-28 17:38:20 UTC
LAST UPDATED 2026-04-28 17:38:20 UTC
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