License holder summary

Kroger Pharmacy #412 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for Kroger Pharmacy #412 is 1125 West State Boulevard, Fort Wayne IN 46808. This licensed professional license is current. The license was granted 08/22/2007 and expired on 12/31/2015.

Indiana

Professional Licensing Agency

Kroger Pharmacy #412
Pharmacy Board - Csr Pharmacy
License number
60006089B
Date granted
08/22/2007
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
1125 West State Boulevard, Fort Wayne IN 46808
indianalicensing.org
ID 24883473
LAST UPDATED 2026-03-29 23:51:17 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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