| License Number |
CDRR-RIII-RONPD-624290
|
| Name of Establishment |
PROVIDENCE CONVENIENCE STORE
|
| Owner |
EFREN MAMUCUD TABANAO
|
| Address |
Km. 143 Sta. Rosa Road, Brgy. San Jose, Tarlac City, Tarlac
|
| Region |
Central Luzon (Region III)
|
| Activity |
Retail Outlet for Non-prescription Drug
|
| Issuance Date |
20 May 2023
|
| Expiry Date |
20 May 2025
|