Provider First Line Business Practice Location Address:
8230 TOPANGA CANYON,
Provider Second Line Business Practice Location Address:
RITE AID PHARMACY
Provider Business Practice Location Address City Name:
CANOGA PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-348-5126
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2011