Provider First Line Business Practice Location Address:
785 CHICKAMAUGA AV
Provider Second Line Business Practice Location Address:
LONGLEY PHARMACY
Provider Business Practice Location Address City Name:
ROSSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-866-1220
Provider Business Practice Location Address Fax Number:
706-861-7505
Provider Enumeration Date:
11/22/2006