Provider First Line Business Practice Location Address:
511 SO 2ND
Provider Second Line Business Practice Location Address:
BOB'S BUDGET PHARMACY
Provider Business Practice Location Address City Name:
TUCUMCARI
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-461-1200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2008