Provider First Line Business Practice Location Address:
899 MAIN ST
Provider Second Line Business Practice Location Address:
LIFETIME HEALTH PHARMACY
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14203-1109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-878-2700
Provider Business Practice Location Address Fax Number:
716-504-5657
Provider Enumeration Date:
09/17/2006