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
LAST UPDATED 2024-02-03 00:38:47 UTC
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