Provider First Line Business Practice Location Address:
200 W 231ST ST # C
Provider Second Line Business Practice Location Address:
KINGSBRIDGE PHARMACY
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10463-5359
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-432-2240
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2010