Provider First Line Business Practice Location Address:
100 MYRTLE BLVD
Provider Second Line Business Practice Location Address:
EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY
Provider Business Practice Location Address City Name:
GRACEWOOD
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-790-2496
Provider Business Practice Location Address Fax Number:
706-790-2340
Provider Enumeration Date:
08/04/2015