Indiana
Professional Licensing Agency
Fort Wayne Surgery Center
Pharmacy Board - Csr
License number
61100148B
Date granted
08/10/1994
Date expires
12/31/2005
Class
Pharmacy Board - Csr
Status
Closed Facility
Address
2510 E. Dupont Rd., Ste. 130, Fort Wayne IN 46825
indianalicensing.org
ID 24876879
LAST UPDATED 2024-02-19 20:02:09 UTC
LAST UPDATED 2024-02-19 20:02:09 UTC
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