CARISSA R DRAKE
Pharmacy at 1410 Jefferson St, Gary, IN

License number
Florida 67895
Issued Date
Jun 30, 2016
Effective Date
Jan 4, 2017
Expiration Date
Dec 31, 2016
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
1410 Jefferson St, Gary, IN 46407
Phone
(219) 359-9963
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Carissa Drake, age 38
1410 Jefferson St, Gary, IN 46407
Carissa Drake
1410 Jefferson St, Gary, IN 46407
(219) 427-1731
(260) 427-1731

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