Provider First Line Business Practice Location Address:
922 E KING AVENUE
Provider Second Line Business Practice Location Address:
WALGREENS
Provider Business Practice Location Address City Name:
KINGSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78363-5867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-221-9714
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/17/2012