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 2026-03-27 03:04:32 UTC
LAST UPDATED 2026-03-27 03:04:32 UTC
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