Indiana
Professional Licensing Agency
Ft. Wayne State Developmental Center
Pharmacy Board - Csr Pharmacy
License number
60000261B
Date granted
08/02/1988
Date expires
12/31/2007
Class
Pharmacy Board - Csr Pharmacy
Status
Closed Facility
Address
4900 ST JOE RD, Fort Wayne IN 46835
indianalicensing.org
ID 24883351
LAST UPDATED 2026-03-11 05:36:46 UTC
LAST UPDATED 2026-03-11 05:36:46 UTC
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