Provider First Line Business Practice Location Address:
388 MARTIN STREET
Provider Second Line Business Practice Location Address:
FAMILY HEALTH SERVICES PHARMACY
Provider Business Practice Location Address City Name:
TWIN FALLS
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83301-6856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-732-1645
Provider Business Practice Location Address Fax Number:
208-734-5036
Provider Enumeration Date:
06/30/2014