Provider First Line Business Practice Location Address:
8900 LAKES AT 610 DR
Provider Second Line Business Practice Location Address:
PHARMACY ADMINISTRATION
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-442-6248
Provider Business Practice Location Address Fax Number:
713-442-5253
Provider Enumeration Date:
10/02/2006