Provider First Line Business Practice Location Address:
AT SEDANO'S PHARMACY
Provider Second Line Business Practice Location Address:
13796 SW 152 STREET
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33177-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-500-2009
Provider Business Practice Location Address Fax Number:
305-500-2145
Provider Enumeration Date:
04/27/2007