Indiana
Professional Licensing Agency
Prodigy Health Supplier Corporation
Pharmacy Board - Wholesale Drug Distributor
License number
48001298A
Date granted
01/28/2003
Date expires
09/30/2016
Class
Pharmacy Board - Wholesale Drug Distributor
Status
Active
Address
9417 Brodie Lane, Austin TX 78748
indianalicensing.org
ID 24910311
LAST UPDATED 2026-03-29 18:55:24 UTC
LAST UPDATED 2026-03-29 18:55:24 UTC
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