Provider First Line Business Practice Location Address:
1621 S ALAMEDA ST
Provider Second Line Business Practice Location Address:
TARGET PHARMACY T-2275
Provider Business Practice Location Address City Name:
COMPTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90220-4973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-735-0097
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2011