Provider First Line Business Practice Location Address:
WALMART PHARMACY
Provider Second Line Business Practice Location Address:
510 KITTY HAWK RD
Provider Business Practice Location Address City Name:
UNIVERSAL CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-536-8546
Provider Business Practice Location Address Fax Number:
210-536-8545
Provider Enumeration Date:
11/02/2020