License holder summary

Kmart Pharmacy #4039 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for Kmart Pharmacy #4039 is 4640 South Michigan Street, South Bend IN 46614. This licensed professional license is not current. The license was granted 12/16/2003 and expired on 12/31/2009.

Indiana

Professional Licensing Agency

Kmart Pharmacy #4039
Pharmacy Board - Csr Pharmacy
License number
60005798B
Date granted
12/16/2003
Date expires
12/31/2009
Class
Pharmacy Board - Csr Pharmacy
Status
Closed Facility
Address
4640 South Michigan Street, South Bend IN 46614
indianalicensing.org
ID 24888895
LAST UPDATED 2024-02-20 00:32:52 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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