KMART PHARMACY #4067
Pharmacy Board - Csr Pharmacy
Indiana 60005799B Closed Facility
This Indiana license was held by KMART PHARMACY #4067. The license is no longer active. It was granted on 12/16/2003 and expired on 12/31/2013
LICENSE DETAILS
- License Number: 60005799B
- Category: CSR-Pharmacy
- Status: Closed Facility
- Date Granted: 12/16/2003 (over 20 years ago)
- Expiry Date: 12/31/2013 (over 10 years ago)
LOCATIONS
A Address
7530 SOUTH ANTHONY, FORT WAYNE IN 46806