Provider First Line Business Practice Location Address:
2100 COMER AVE, 1800 BUILDING
Provider Second Line Business Practice Location Address:
AMBULATORY CARE PHARMACY
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-321-3779
Provider Business Practice Location Address Fax Number:
706-321-3751
Provider Enumeration Date:
06/28/2012