Provider First Line Business Practice Location Address:
SHOPRITE PHARMACY OF LINCOLN PARK
Provider Second Line Business Practice Location Address:
60 BEAVERBROOK RD
Provider Business Practice Location Address City Name:
LINCOLN PARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-694-7141
Provider Business Practice Location Address Fax Number:
973-694-1528
Provider Enumeration Date:
12/09/2020