License holder summary

Fort Wayne Custom, Rx is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for Fort Wayne Custom, Rx is 425 E. Dupont Rd., Fort Wayne IN 46825. This licensed professional license is current. The license was granted 08/30/2004 and expired on 12/31/2015.

Indiana

Professional Licensing Agency

Fort Wayne Custom, Rx
Pharmacy Board - Csr Pharmacy
License number
60005855B
Date granted
08/30/2004
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
425 E. Dupont Rd., Fort Wayne IN 46825
indianalicensing.org
ID 24883343
LAST UPDATED 2024-02-29 01:58:01 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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