Provider First Line Business Practice Location Address:
15549 STE RTE 170 STE 1
Provider Second Line Business Practice Location Address:
BUCKEYE PHARMACY
Provider Business Practice Location Address City Name:
EAST LIVERPOOL
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-382-7726
Provider Business Practice Location Address Fax Number:
330-382-7728
Provider Enumeration Date:
04/30/2007