Indiana
Professional Licensing Agency
KMART PHARMACY #4108
Pharmacy Board - Csr Pharmacy
License number
60005800B
Date granted
12/16/2003
Date expires
12/31/2013
Class
Pharmacy Board - Csr Pharmacy
Status
Closed Facility
Address
6050 U S HIGHWAY #6, PORTAGE IN 46368
indianalicensing.org
ID 24888132
LAST UPDATED 2024-03-14 22:30:51 UTC
LAST UPDATED 2024-03-14 22:30:51 UTC
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