Provider First Line Business Practice Location Address:
4647 ZION AVE
Provider Second Line Business Practice Location Address:
INPATIENT PHARMACY
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92120-2507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-295-4655
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006