Provider First Line Business Practice Location Address:
617 BROADWAY AVE
Provider Second Line Business Practice Location Address:
ELLIS DRUGS
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-964-1399
Provider Business Practice Location Address Fax Number:
856-964-1239
Provider Enumeration Date:
02/14/2007