Provider First Line Business Practice Location Address:
21 NORTH 20TH STREET
Provider Second Line Business Practice Location Address:
MORABITOS PHARMACY
Provider Business Practice Location Address City Name:
KENILWORTH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-709-1414
Provider Business Practice Location Address Fax Number:
908-709-1543
Provider Enumeration Date:
02/06/2007