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License Number CDRR-RXIII-DS-569938
Name of Establishment Immanuel Jireh Pharma and Medical Supplies Trading
Owner Lourdes Palma Cubero
Address Brgy. Lininti-an (Pob.), Cantilan, Surigao Del Sur
Region Caraga (Region XIII)
Activity Drugstore
Issuance Date 24 March 2023
Expiry Date 24 March 2025