Provider First Line Business Practice Location Address:
KOMISHANE'S PHARMACY
Provider Second Line Business Practice Location Address:
199 STUYVESANT AVE
Provider Business Practice Location Address City Name:
NEWAK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-399-0900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2018