Provider First Line Business Practice Location Address:
42 MAIN STREET
Provider Second Line Business Practice Location Address:
RITE AID PHARMACY
Provider Business Practice Location Address City Name:
SHENANDOAH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-462-1924
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2011