Provider First Line Business Practice Location Address:
5700 100TH STREET SW STE 100
Provider Second Line Business Practice Location Address:
RIGHT AID COMPANY
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-588-3666
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2010