Indiana
Professional Licensing Agency
Regency Hospital of Portage dba Regency Hospital of Northwest Indiana
Pharmacy Board - Csr Pharmacy
License number
60005903B
Date granted
07/29/2005
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
3630 Willow Creek Road, Portage IN 46368
indianalicensing.org
ID 24888149
LAST UPDATED 2026-06-15 09:52:50 UTC
LAST UPDATED 2026-06-15 09:52:50 UTC
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