Provider First Line Business Practice Location Address:
BMC MCAS, MIRAMIR PHARMACY
Provider Second Line Business Practice Location Address:
BUILDING 2496 BAUER RD
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-577-9960
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2006