Provider First Line Business Practice Location Address:
2524 BROADWAY
Provider Second Line Business Practice Location Address:
DUANE READE PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025-6946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-663-1580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2007