Provider First Line Business Practice Location Address:
DEVINE'S PHARMACY
Provider Second Line Business Practice Location Address:
2 S. WASHINGTON AVE.
Provider Business Practice Location Address City Name:
DUNELLEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-968-0003
Provider Business Practice Location Address Fax Number:
732-968-0005
Provider Enumeration Date:
09/22/2006