Provider First Line Business Practice Location Address:
737 HUNTINGDON PIKE
Provider Second Line Business Practice Location Address:
GENUARDI'S PHARMACY #4014
Provider Business Practice Location Address City Name:
HUNTINGDON VALLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19006-8362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-379-3257
Provider Business Practice Location Address Fax Number:
215-379-3275
Provider Enumeration Date:
12/12/2006