License holder summary

LAKESIDE PHARMACY is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for LAKESIDE PHARMACY is 3728 LAKE AVE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 12/14/1992 and expired on 12/31/1995.

Indiana

Professional Licensing Agency

LAKESIDE PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60004236B
Date granted
12/14/1992
Date expires
12/31/1995
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
3728 LAKE AVE, FORT WAYNE IN 46805
indianalicensing.org
ID 24883510
LAST UPDATED 2024-04-24 00:51:58 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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