Pennsylvania
Department of State
BROCK SHANE BAXTER
Pharmacy - Authorization to Administer Injectables
License number
RPI007359
Date granted
06/14/2013
Date expires
09/30/2014
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
Philadelphia PA 19142
palicensing.org
ID 17129954
LAST UPDATED 2026-06-18 17:08:59 UTC
LAST UPDATED 2026-06-18 17:08:59 UTC
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