Provider First Line Business Practice Location Address:
1735 ST. OF FRANKLIN
Provider Second Line Business Practice Location Address:
RITE-AID
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-929-2611
Provider Business Practice Location Address Fax Number:
423-929-8301
Provider Enumeration Date:
07/03/2006