Provider First Line Business Practice Location Address:
407 W. HWY. 550
Provider Second Line Business Practice Location Address:
PHARMACY PLUS
Provider Business Practice Location Address City Name:
BERNALILLO
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87004-5995
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-867-2336
Provider Business Practice Location Address Fax Number:
505-867-0911
Provider Enumeration Date:
10/20/2006