License holder summary

NORTHWEST FAMILY OUTPATIENT PHARMACY is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for NORTHWEST FAMILY OUTPATIENT PHARMACY is 1110 WEST 5TH AVENUE, GARY IN 46402. This licensed professional license is not current. The license was granted 01/09/1995 and expired on 12/31/1995.

Indiana

Professional Licensing Agency

NORTHWEST FAMILY OUTPATIENT PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60004476B
Date granted
01/09/1995
Date expires
12/31/1995
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
1110 WEST 5TH AVENUE, GARY IN 46402
indianalicensing.org
ID 24883958
LAST UPDATED 2024-04-08 17:50:29 UTC

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