Indiana
Professional Licensing Agency
FAGEN PHARMACY #11
Pharmacy Board - Csr Pharmacy
License number
60004153B
Date granted
02/10/1992
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
2080 EAST COMMERCIAL AVENUE, LOWELL IN 46356
indianalicensing.org
ID 24886581
LAST UPDATED 2024-02-27 09:55:36 UTC
LAST UPDATED 2024-02-27 09:55:36 UTC
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