Provider First Line Business Practice Location Address:
1286 STABLER LN
Provider Second Line Business Practice Location Address:
BEL AIR PHARMACY # 521
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95993-2620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-755-9917
Provider Business Practice Location Address Fax Number:
530-755-1546
Provider Enumeration Date:
11/13/2011