Provider First Line Business Practice Location Address:
4256 JAMES ST
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY MANAGER
Provider Business Practice Location Address City Name:
EAST SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13057-2180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-437-1599
Provider Business Practice Location Address Fax Number:
315-437-0946
Provider Enumeration Date:
03/28/2008