Provider First Line Business Practice Location Address:
BLDG. 6000 CAMP LESTER
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY DEPT
Provider Business Practice Location Address City Name:
CHATAN-CHO, NAKAGAMI-GUN
Provider Business Practice Location Address State Name:
OKINAWA
Provider Business Practice Location Address Postal Code:
9040103
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
011816117437557
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2006