Provider First Line Business Practice Location Address:
141 SANFORD FARM SHOPPING PLAZA
Provider Second Line Business Practice Location Address:
PRICE CHOPPER PHARMACY 139
Provider Business Practice Location Address City Name:
AMSTERDAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12010-2120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-843-8332
Provider Business Practice Location Address Fax Number:
518-843-8334
Provider Enumeration Date:
08/11/2008