Provider First Line Business Practice Location Address:
17 WEST 125 ST
Provider Second Line Business Practice Location Address:
HARLEM PHARMACY
Provider Business Practice Location Address City Name:
MANHATTAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-831-0200
Provider Business Practice Location Address Fax Number:
212-831-0230
Provider Enumeration Date:
03/22/2007