Provider First Line Business Practice Location Address:
1001 E LATHAM AVE
Provider Second Line Business Practice Location Address:
INLAND PHARMACY INC.
Provider Business Practice Location Address City Name:
HEMET
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92543-4435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-658-7111
Provider Business Practice Location Address Fax Number:
951-658-7113
Provider Enumeration Date:
09/30/2005