Provider First Line Business Practice Location Address:
9990 COUNTY FARM RD
Provider Second Line Business Practice Location Address:
SUITE #2 / DEPT. OF PHARMACY SERVICE - C. SCHAFFLER
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92503-3542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-358-4746
Provider Business Practice Location Address Fax Number:
951-358-4626
Provider Enumeration Date:
10/05/2011