Provider First Line Business Practice Location Address:
LEROY PHARMACY
Provider Second Line Business Practice Location Address:
358 E 204TH ST
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-882-5614
Provider Business Practice Location Address Fax Number:
718-882-6365
Provider Enumeration Date:
11/21/2006