Provider First Line Business Practice Location Address:
13124 ROCKAWAY BLVD
Provider Second Line Business Practice Location Address:
PARK HEALTH PHARMACY
Provider Business Practice Location Address City Name:
SOUTH OZONE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11420-2932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-322-3261
Provider Business Practice Location Address Fax Number:
718-322-3261
Provider Enumeration Date:
10/12/2016