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License Number CDRR-RXII-DW-322081
Name of Establishment LAFORTEZA PHARMACY
Owner MARITES L. MONES
Address OSMEÑA ST., ZONE II, POBLACION, Koronadal, South Cotabato
Region Soccsksargen (Region XII)
Activity Drug Wholesaler
Issuance Date 26 May 2022
Expiry Date 09 May 2025