Provider First Line Business Practice Location Address:
35 101ST AVE
Provider Second Line Business Practice Location Address:
AN-NOOR PHARMACY INC.
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11208-3404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-827-4000
Provider Business Practice Location Address Fax Number:
718-827-4001
Provider Enumeration Date:
01/14/2008