Provider First Line Business Practice Location Address:
2400 S AVENUE A
Provider Second Line Business Practice Location Address:
YRMC PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
YUMA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85364-7127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-336-7814
Provider Business Practice Location Address Fax Number:
928-336-7696
Provider Enumeration Date:
10/27/2009