License holder summary

Kmart Pharmacy #3254 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for Kmart Pharmacy #3254 is 820 COLISEUM BLVD NORTH, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 08/10/1998 and expired on 12/16/2003.

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 2024-02-25 20:00:15 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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