Provider First Line Business Practice Location Address:
373 BROADWAY
Provider Second Line Business Practice Location Address:
BROADWAY DOWNTOWN PHARMACY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-3926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-925-4888
Provider Business Practice Location Address Fax Number:
212-925-4917
Provider Enumeration Date:
03/11/2010