Provider First Line Business Practice Location Address:
200 S LASALLE STREET
Provider Second Line Business Practice Location Address:
C/O RITE AID PHARMACY
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27705-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-383-5591
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2011