Provider First Line Business Practice Location Address:
SKY LAKES OUTPATIENT PHARMACY
Provider Second Line Business Practice Location Address:
2865 DAGGETT STREET
Provider Business Practice Location Address City Name:
KLAMATH FALLS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-274-3490
Provider Business Practice Location Address Fax Number:
541-274-3495
Provider Enumeration Date:
08/03/2018