Provider First Line Business Practice Location Address:
400 N RUBY ST
Provider Second Line Business Practice Location Address:
PHARMACY
Provider Business Practice Location Address City Name:
ELLENSBURG
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98926-3152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-962-5096
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2016