Provider First Line Business Practice Location Address:
VERSAILLES PHARMACY
Provider Second Line Business Practice Location Address:
700 WEST CLAY ROAD
Provider Business Practice Location Address City Name:
VERSAILLES
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-378-5000
Provider Business Practice Location Address Fax Number:
573-378-1920
Provider Enumeration Date:
01/25/2008