Indiana
Professional Licensing Agency
Sam's Club Pharmacy #10-8169
Pharmacy Board - Csr Pharmacy
License number
60006302B
Date granted
05/14/2012
Date expires
12/31/2015
Class
Pharmacy Board - Csr Pharmacy
Status
Active
Address
3819 South Street, Lafayette IN 47905
indianalicensing.org
ID 24886313
LAST UPDATED 2024-03-29 00:36:45 UTC
LAST UPDATED 2024-03-29 00:36:45 UTC
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