License holder summary

K MART PHARMACY #4039 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for K MART PHARMACY #4039 is 4640 SOUTH MICHIGAN STREET, SOUTH BEND IN 46614. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 12/31/1999.

Indiana

Professional Licensing Agency

K MART PHARMACY #4039
Pharmacy Board - Csr Pharmacy
License number
60002908B
Date granted
11/30/1984
Date expires
12/31/1999
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
4640 SOUTH MICHIGAN STREET, SOUTH BEND IN 46614
indianalicensing.org
ID 24888892
LAST UPDATED 2024-05-02 18:22:41 UTC

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