Indiana
Professional Licensing Agency
KMART PHARMACY #4067
Pharmacy Board - Csr Pharmacy
License number
60005359B
Date granted
08/10/1998
Date expires
12/16/2003
Class
Pharmacy Board - Csr Pharmacy
Status
Closed Facility
Address
7530 SOUTH ANTHONY, FORT WAYNE IN 46806
indianalicensing.org
ID 24883468
LAST UPDATED 2024-02-01 23:49:53 UTC
LAST UPDATED 2024-02-01 23:49:53 UTC
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