Provider First Line Business Practice Location Address:
5100 S MCCLINTOCK DR
Provider Second Line Business Practice Location Address:
FRY'S PHARMACY
Provider Business Practice Location Address City Name:
TEMPE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85282-7374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-752-9733
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/06/2009