Provider First Line Business Practice Location Address:
THOMAS J LONG SCHOOL OF PHARMACY & HEALTH SCIENCES
Provider Second Line Business Practice Location Address:
751 BROOKSIDE ROAD
Provider Business Practice Location Address City Name:
STOCKTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-946-2363
Provider Business Practice Location Address Fax Number:
209-946-2410
Provider Enumeration Date:
06/24/2005