Provider First Line Business Practice Location Address:
930 OLD STEESE HWY
Provider Second Line Business Practice Location Address:
PHARMACY
Provider Business Practice Location Address City Name:
FAIRBANKS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99701-3138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-459-4233
Provider Business Practice Location Address Fax Number:
907-459-4227
Provider Enumeration Date:
10/25/2010