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License Number CDRR-RXIII-DS-28119
Name of Establishment St. Blaise Pharmacy
Owner Rica Dave B. Honculada
Address Purok 11, Poblacion, Santa Josefa, Agusan Del Sur
Region Caraga (Region XIII)
Activity Drugstore
Issuance Date 08 March 2023
Expiry Date 10 March 2026