Provider First Line Business Practice Location Address:
2020 MARKET ST
Provider Second Line Business Practice Location Address:
SAFEWAY PHARMACY
Provider Business Practice Location Address City Name:
SAN FRANCISCI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-861-7660
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2012