Provider First Line Business Practice Location Address:
MONCRIEF ARMY HOSPITAL OUTPATIENT PHARMACY 1 FT JACKSON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-751-2385
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2019