Indiana
Professional Licensing Agency
DERA, Inc.
Pharmacy Board - Home Medical Equip Service Provider
License number
69000281A
Date granted
05/03/2007
Date expires
12/31/2013
Class
Pharmacy Board - Home Medical Equip Service Provider
Status
Closed Facility
Address
529 E. Coliseum Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 24890802
LAST UPDATED 2024-02-10 22:45:48 UTC
LAST UPDATED 2024-02-10 22:45:48 UTC
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