Provider First Line Business Practice Location Address:
76 VETERANS AVE, PHARMACY SERVICE
Provider Second Line Business Practice Location Address:
D&T/119/76/160
Provider Business Practice Location Address City Name:
BATH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-664-4469
Provider Business Practice Location Address Fax Number:
607-664-4478
Provider Enumeration Date:
08/29/2006