Provider First Line Business Practice Location Address:
8910 HOLLY AVE NE
Provider Second Line Business Practice Location Address:
PHARMACA INTEGRATIVE PHARMACY
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87122-2947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-796-0391
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2005