Provider First Line Business Practice Location Address:
PHARMACY SERVICE (119), BUILDING 200
Provider Second Line Business Practice Location Address:
JAMES H QUILLEN VETERANS ADMINISTRATION MEDICAL CENTER
Provider Business Practice Location Address City Name:
MOUNTAIN HOME
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37684
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-926-1171
Provider Business Practice Location Address Fax Number:
423-979-1461
Provider Enumeration Date:
08/18/2011