Provider First Line Business Practice Location Address:
744 WEST CAMELBACK RD
Provider Second Line Business Practice Location Address:
FRYS PHARMACY
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-612-3660
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2011