Provider First Line Business Practice Location Address:
12301 SNOW RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE MOB PHARMACY
Provider Business Practice Location Address City Name:
PARMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-362-2213
Provider Business Practice Location Address Fax Number:
216-265-4412
Provider Enumeration Date:
07/29/2006