Provider First Line Business Practice Location Address:
835 S. HWY 395
Provider Second Line Business Practice Location Address:
PHARMACY
Provider Business Practice Location Address City Name:
HERMISTON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-567-7805
Provider Business Practice Location Address Fax Number:
541-567-4783
Provider Enumeration Date:
05/02/2011