Provider First Line Business Practice Location Address:
401 E SPRUCE
Provider Second Line Business Practice Location Address:
ATTN: KRISTI COFER PHARMACY
Provider Business Practice Location Address City Name:
GARDEN CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-272-2152
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2020