Indiana
Professional Licensing Agency
LUTHERAN HOSPITAL OUTPATIENT PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60004149B
Date granted
01/13/1992
Date expires
12/31/1995
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
7950 WEST JEFFERSON BOULEVARD, FORT WAYNE IN 46804
indianalicensing.org
ID 24883529
LAST UPDATED 2024-04-28 08:18:24 UTC
LAST UPDATED 2024-04-28 08:18:24 UTC
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