Provider First Line Business Practice Location Address:
1800 N CALIFORNIA ST
Provider Second Line Business Practice Location Address:
HOME INFUSION PHARMACY
Provider Business Practice Location Address City Name:
STOCKTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95204-6019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-461-5486
Provider Business Practice Location Address Fax Number:
209-461-6890
Provider Enumeration Date:
11/16/2005