Provider First Line Business Practice Location Address:
1713 DECATUR HWY
Provider Second Line Business Practice Location Address:
RITE AID PHARMACY
Provider Business Practice Location Address City Name:
FULTONDALE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-808-6083
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2010