Provider First Line Business Practice Location Address:
WILSON'S SAV-MOR DRUGS
Provider Second Line Business Practice Location Address:
265 E MAIN STREET
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37821-3126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-623-3456
Provider Business Practice Location Address Fax Number:
423-623-3049
Provider Enumeration Date:
09/29/2013