Provider First Line Business Practice Location Address:
HUMANA MAIL PHARMACY
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
FT.LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33309-7101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-558-7710
Provider Business Practice Location Address Fax Number:
877-825-3737
Provider Enumeration Date:
07/07/2006