Indiana
Professional Licensing Agency
Kmart Pharmacy #3254
Pharmacy Board - Csr Pharmacy
License number
60005355B
Date granted
08/10/1998
Date expires
12/16/2003
Class
Pharmacy Board - Csr Pharmacy
Status
Closed Facility
Address
820 COLISEUM BLVD NORTH, FORT WAYNE IN 46805
indianalicensing.org
ID 24883466
LAST UPDATED 2026-04-07 19:10:32 UTC
LAST UPDATED 2026-04-07 19:10:32 UTC
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