Provider First Line Business Practice Location Address:
1800 TENTH AVE
Provider Second Line Business Practice Location Address:
FAMILY HEALTH PHARMACY
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31901-7201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-571-1995
Provider Business Practice Location Address Fax Number:
706-571-1781
Provider Enumeration Date:
09/01/2006