Provider First Line Business Practice Location Address:
1045 S CENTRAL ST
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
COLORADO CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-813-7110
Provider Business Practice Location Address Fax Number:
928-813-7120
Provider Enumeration Date:
10/08/2019