Provider First Line Business Practice Location Address:
2800 E AJO WAY
Provider Second Line Business Practice Location Address:
UPH PHARMACY AT KINO CAMPUS
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85713-6204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-874-2380
Provider Business Practice Location Address Fax Number:
520-874-4312
Provider Enumeration Date:
09/20/2006