Provider First Line Business Practice Location Address:
11315 BRIDGEPORT WAY S.W.
Provider Second Line Business Practice Location Address:
ST. CLARE HOSPITAL - PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-985-6885
Provider Business Practice Location Address Fax Number:
253-985-8294
Provider Enumeration Date:
02/06/2013