License holder summary

KMART PHARMACY #4067 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for KMART PHARMACY #4067 is 7530 SOUTH ANTHONY, FORT WAYNE IN 46806. 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 #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

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