Provider First Line Business Practice Location Address:
905 HIGHWAY 133 CITY MARKET PHARMACY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARBONDALE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-233-5208
Provider Business Practice Location Address Fax Number:
970-233-5209
Provider Enumeration Date:
08/05/2019