Fort Wayne Custom, Rx

Pharmacy Board - Csr Pharmacy

Indiana  60005855B   Active

This Indiana license is held by Fort Wayne Custom, Rx. The license is currently active. It was granted on 08/30/2004 and expired on 12/31/2015

LICENSE DETAILS

  • License Number: 60005855B
  • Category: CSR-Pharmacy
  • Status: Active
  • Date Granted: 08/30/2004 (almost 22 years ago)
  • Expiry Date: 12/31/2015 (over 10 years ago)

LOCATIONS

A Address

425 E. Dupont Rd., Fort Wayne IN 46825