Indiana
Professional Licensing Agency
FIRST RX
Pharmacy Board - Wholesale Drug Distributor
License number
48000566A
Date granted
02/13/1997
Date expires
09/30/2000
Class
Pharmacy Board - Wholesale Drug Distributor
Status
Expired
Address
STEPHEN SHACKMAN SOLE PROPRIETOR, 608 S E POWELL, PORTLAND OR 97202
indianalicensing.org
ID 24912327
LAST UPDATED 2024-03-02 08:51:31 UTC
LAST UPDATED 2024-03-02 08:51:31 UTC
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