Provider First Line Business Practice Location Address:
12400 HIGH BLUFF DRIVE
Provider Second Line Business Practice Location Address:
RX PROHEALTH
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-435-2132
Provider Business Practice Location Address Fax Number:
866-580-6378
Provider Enumeration Date:
07/22/2015