Indiana
Professional Licensing Agency
Fagan Pharmacy #36
Pharmacy Board - Csr Pharmacy
License number
60002190B
Date granted
04/30/1986
Date expires
12/31/2005
Class
Pharmacy Board - Csr Pharmacy
Status
Closed Facility
Address
506 BROADWAY, GARY IN 46402
indianalicensing.org
ID 24883919
LAST UPDATED 2024-03-17 14:46:30 UTC
LAST UPDATED 2024-03-17 14:46:30 UTC
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