Provider First Line Business Practice Location Address:
206 MILL RD
Provider Second Line Business Practice Location Address:
SOUTHCOAST SPECIALTY PHARMACY
Provider Business Practice Location Address City Name:
FAIRHAVEN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-973-3320
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/02/2023