Provider First Line Business Practice Location Address:
350 EAST 40TH AVE.
Provider Second Line Business Practice Location Address:
SAFEWAY PHARMACY
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97405-3404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-434-2185
Provider Business Practice Location Address Fax Number:
541-434-2188
Provider Enumeration Date:
11/02/2010