License holder summary

L R BLOUGH PHARMACY is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for L R BLOUGH PHARMACY is 1509 SPY RUN BOULEVARD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 12/31/1991.

Indiana

Professional Licensing Agency

L R BLOUGH PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60000409B
Date granted
04/30/1986
Date expires
12/31/1991
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
1509 SPY RUN BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 24883508
LAST UPDATED 2024-02-03 00:38:47 UTC

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