Provider First Line Business Practice Location Address:
2827 BABCOCK RD
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY DEPT.
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-4813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-705-6194
Provider Business Practice Location Address Fax Number:
210-705-6087
Provider Enumeration Date:
10/10/2007