Provider First Line Business Practice Location Address:
DOMINICAN PLAZA PHARMACY
Provider Second Line Business Practice Location Address:
1595 SOQUEL DR SUITE 120
Provider Business Practice Location Address City Name:
SANTA CRUZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-462-7726
Provider Business Practice Location Address Fax Number:
831-462-7615
Provider Enumeration Date:
09/07/2018