Provider First Line Business Practice Location Address:
801 SUNLAND PARK DR
Provider Second Line Business Practice Location Address:
TARGET PHARMACY
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-585-8185
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/16/2014