Provider First Line Business Practice Location Address:
HM 1220 1120 15TH STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-721-4915
Provider Business Practice Location Address Fax Number:
706-721-3994
Provider Enumeration Date:
12/08/2009