Provider First Line Business Practice Location Address:
655 RUSSELL BLVD
Provider Second Line Business Practice Location Address:
RITAID PHARMACY
Provider Business Practice Location Address City Name:
DAVIS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-756-3393
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2011