Provider First Line Business Practice Location Address:
703 SOUTH MEMORIAL DR
Provider Second Line Business Practice Location Address:
WALGREENS PHARMACY
Provider Business Practice Location Address City Name:
PRATTVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-361-2261
Provider Business Practice Location Address Fax Number:
334-361-8524
Provider Enumeration Date:
10/12/2011