Provider First Line Business Practice Location Address:
1498 SE TECH CENTER PL STE 240
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98683-5508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-597-1070
Provider Business Practice Location Address Fax Number:
360-597-1371
Provider Enumeration Date:
05/05/2016