Provider First Line Business Practice Location Address:
1201 N.W. 16 TH AVENUE
Provider Second Line Business Practice Location Address:
VA MEDICAL CENTER - 119 - PHARMACY SERVICE
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-325-4455
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2006