Provider First Line Business Practice Location Address:
3900 W TILGHMAN ST
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY MANAGER
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-4434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-336-7940
Provider Business Practice Location Address Fax Number:
610-336-7998
Provider Enumeration Date:
03/14/2006