License holder summary

PURVIS PARK PHARMACY is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for PURVIS PARK PHARMACY is 3020 E STATE BLVD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 01/17/1986 and expired on 12/31/1991.

Indiana

Professional Licensing Agency

PURVIS PARK PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60003254B
Date granted
01/17/1986
Date expires
12/31/1991
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
3020 E STATE BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 24883602
LAST UPDATED 2024-03-28 01:52:53 UTC

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