Provider First Line Business Practice Location Address:
13062 HIGHWAY 79
Provider Second Line Business Practice Location Address:
RAINES PHARMACY
Provider Business Practice Location Address City Name:
BELLS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38006-3916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-663-3333
Provider Business Practice Location Address Fax Number:
731-663-0265
Provider Enumeration Date:
07/03/2006