Provider First Line Business Practice Location Address:
16918 HILLSIDE AVE
Provider Second Line Business Practice Location Address:
AL-MAMOOR PHARMACY INC.
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432-4435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-374-3406
Provider Business Practice Location Address Fax Number:
718-374-3421
Provider Enumeration Date:
03/24/2010