Provider First Line Business Practice Location Address:
2201 LEXINGTON AVE
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-2843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-327-7410
Provider Business Practice Location Address Fax Number:
606-327-7385
Provider Enumeration Date:
04/03/2007