Provider First Line Business Practice Location Address:
3011 EAST BARNETT RD
Provider Second Line Business Practice Location Address:
PHARMACY SUITE
Provider Business Practice Location Address City Name:
MEDFORD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-789-5547
Provider Business Practice Location Address Fax Number:
541-789-5678
Provider Enumeration Date:
01/12/2022