Indiana
Professional Licensing Agency
Primesource Healthcare ASC Indianapolis
Pharmacy Board - Csr
License number
61100446B
Date granted
05/27/2003
Date expires
12/31/2005
Class
Pharmacy Board - Csr
Status
Expired
Address
8902 North Meridian Street Suite 104, Indianapolis IN 46260
indianalicensing.org
ID 24878094
LAST UPDATED 2026-04-04 21:46:48 UTC
LAST UPDATED 2026-04-04 21:46:48 UTC
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