Indiana
Professional Licensing Agency
Pharma-Card Portage
Pharmacy Board - Csr Pharmacy
License number
60004205B
Date granted
08/14/1992
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
6036 Lute Road, Suite A, Portage IN 46368
indianalicensing.org
ID 24888138
LAST UPDATED 2024-03-18 17:32:36 UTC
LAST UPDATED 2024-03-18 17:32:36 UTC
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