Provider First Line Business Practice Location Address:
2918 AVE R
Provider Second Line Business Practice Location Address:
AVE R PHARMACY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-787-1414
Provider Business Practice Location Address Fax Number:
718-375-6888
Provider Enumeration Date:
04/01/2010