Provider First Line Business Practice Location Address:
527 GRAND ST
Provider Second Line Business Practice Location Address:
UNITED PHARMACY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11211-3559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-384-7901
Provider Business Practice Location Address Fax Number:
718-218-8591
Provider Enumeration Date:
06/01/2011