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License Number CDRR-RVIII-DS-777578
Name of Establishment 528 MINIMART
Owner RUSTICO BESA BALDERIAN
Address BURGOS, Brgy. District 1 Pob. (Quezon), Tabontabon, Leyte
Region Eastern Visayas (Region VIII)
Activity Drugstore
Issuance Date 22 October 2023
Expiry Date 22 October 2025