Provider First Line Business Practice Location Address:
699 92 STREET
Provider Second Line Business Practice Location Address:
DANAR TWO INC DBA MEMORIAL PHARMACY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-567-2661
Provider Business Practice Location Address Fax Number:
718-567-2667
Provider Enumeration Date:
06/30/2008