Indiana
Professional Licensing Agency
Purdue University - Carvajal
Pharmacy Board - Csr
License number
61100860B
Date granted
09/21/2009
Date expires
12/31/2011
Class
Pharmacy Board - Csr
Status
Closed Facility
Address
575 Stadium Mall Dr, West Lafayette IN 47907
indianalicensing.org
ID 24880442
LAST UPDATED 2026-04-13 02:42:57 UTC
LAST UPDATED 2026-04-13 02:42:57 UTC
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