Provider First Line Business Practice Location Address:
12505 STARKEY ROAD
Provider Second Line Business Practice Location Address:
SUITE C TAB SAFE PRESCRIPTION SERVICES
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-230-0839
Provider Business Practice Location Address Fax Number:
727-230-0840
Provider Enumeration Date:
12/05/2006