License holder summary

KROGER PHARMACY UNIV PARK J 931 is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for KROGER PHARMACY UNIV PARK J 931 is 5110 N CLINTON STREET, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 04/08/1991 and expired on 12/31/1997.

Indiana

Professional Licensing Agency

KROGER PHARMACY UNIV PARK J 931
Pharmacy Board - Csr Pharmacy
License number
60004084B
Date granted
04/08/1991
Date expires
12/31/1997
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
5110 N CLINTON STREET, FORT WAYNE IN 46825
indianalicensing.org
ID 24883504
LAST UPDATED 2024-05-15 07:09:18 UTC

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