Pennsylvania
Department of State
SAM S PARK
Pharmacy - Authorization to Administer Injectables
License number
RPI005393
Date granted
08/19/2011
Date expires
09/30/2014
Class
Pharmacy - Authorization to Administer Injectables
Status
Inactive
Address
Harleysville PA 19438
palicensing.org
ID 17083441
LAST UPDATED 2026-03-21 13:23:01 UTC
LAST UPDATED 2026-03-21 13:23:01 UTC
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