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Licenses
Pharmacy
Colorado
6105
Mixtures Pharmacy & Compounding Center
Pharmacy at 40 St, Phoenix, AZ
License number
Colorado 6105
Issued Date
Oct 11, 2012
Renew Date
Nov 1, 2016
Expiration Date
Oct 31, 2018
Type
Prescription Drug Outlet Out of State
Address
Address
16515 S 40Th St STE 123, Phoenix, AZ 85048
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Tate Berger
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Joseph Taehwan Bong
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Derek Allen Clark
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Kristine L Ferdinandsen
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Melissa Kay Golladay
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Henna Rasik Griego
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Other Doctors licenses in Colorado
Melissa Ann McFarland
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Douglas Lee Cheatham
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Carey Michelle Lennon
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Debbie Sunshine Mascovich
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