Indiana
Professional Licensing Agency
Kroger Pharmacy J-990
Pharmacy Board - Csr Pharmacy
License number
60005458B
Date granted
06/14/1999
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
5725 Coventry Lane, Fort Wayne IN 46804
indianalicensing.org
ID 24883498
LAST UPDATED 2026-03-26 13:41:37 UTC
LAST UPDATED 2026-03-26 13:41:37 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.