Provider First Line Business Practice Location Address:
50 CROSS ST
Provider Second Line Business Practice Location Address:
MARSHALL DRUG STORE
Provider Business Practice Location Address City Name:
URBANNA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23175
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-758-5344
Provider Business Practice Location Address Fax Number:
804-758-3366
Provider Enumeration Date:
10/05/2005