Provider First Line Business Practice Location Address:
5601 DE SOTO AVE (PHARMACY DEPARTMENT)
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367-6701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-719-3317
Provider Business Practice Location Address Fax Number:
818-719-3188
Provider Enumeration Date:
10/13/2006