License holder summary

K MART PHARMACY #4079 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for K MART PHARMACY #4079 is 309 US 30 BYPASS EAST, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 12/31/1999.

Indiana

Professional Licensing Agency

K MART PHARMACY #4079
Pharmacy Board - Csr Pharmacy
License number
60003013B
Date granted
03/31/1986
Date expires
12/31/1999
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
309 US 30 BYPASS EAST, FORT WAYNE IN 46805
indianalicensing.org
ID 24883434
LAST UPDATED 2024-04-05 11:57:19 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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