Provider First Line Business Practice Location Address:
6064 MARSHA SHARP FWY
Provider Second Line Business Practice Location Address:
TARGET PHARMACY T2190
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79407-3726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-788-3601
Provider Business Practice Location Address Fax Number:
806-788-3611
Provider Enumeration Date:
06/02/2011