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License Number CDRR-RXI-DS-1102739
Name of Establishment Prodrug Pharmacy
Owner Ax\'l Marie Grace Mengullo Roa
Address Stall Rasay Corner De Guzman St., Barangay Toril Proper, Toril District, Davao City, Davao Del Sur
Region Davao (Region XI)
Activity Drugstore
Issuance Date 15 September 2024
Expiry Date 15 September 2026