Provider First Line Business Practice Location Address:
236 WEST CLINTON STREET
Provider Second Line Business Practice Location Address:
MEDICAP PHARMACY
Provider Business Practice Location Address City Name:
GRAY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31032-1388
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-986-4827
Provider Business Practice Location Address Fax Number:
478-986-4828
Provider Enumeration Date:
02/20/2008