Provider First Line Business Practice Location Address:
420 CENTER AVE
Provider Second Line Business Practice Location Address:
MOORHEAD DRUG CO
Provider Business Practice Location Address City Name:
MOORHEAD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-233-1529
Provider Business Practice Location Address Fax Number:
218-233-8917
Provider Enumeration Date:
03/09/2007