License holder summary

LAKE AVENUE PHARMACY is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for LAKE AVENUE PHARMACY is 3217 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 12/31/1995.

Indiana

Professional Licensing Agency

LAKE AVENUE PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60001116B
Date granted
11/30/1984
Date expires
12/31/1995
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
3217 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24883512
LAST UPDATED 2024-04-08 05:23:16 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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