Provider First Line Business Practice Location Address:
700 HIGH STREET
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
WILLIAMSPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-321-3083
Provider Business Practice Location Address Fax Number:
570-321-3231
Provider Enumeration Date:
04/17/2013