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License Number CDRR-RXII-DS-580502
Name of Establishment LUNG AND KIDNEY CLINIC AND PHARMACY
Owner MYLEEN ESCALONA LUCERO
Address DOROTHEL BUILDING, SANTIAGO BLVD., DADIANGAS EAST, General Santos City, South Cotabato
Region Soccsksargen (Region XII)
Activity Drugstore
Issuance Date 31 May 2023
Expiry Date 05 April 2025