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Licenses
Pharmacy
Colorado
1040000046
Lake Pharmacy, Inc.
Pharmacy at Lk Ave, Pueblo, CO
License number
Colorado 1040000046
Issued Date
Apr 12, 1983
Renew Date
Nov 1, 1998
Expiration Date
Nov 20, 1998
Type
Prescription Drug Outlet In State
Address
Address
1904 Lake Ave, Pueblo, CO 81004
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