Provider First Line Business Practice Location Address:
416 US-1 NORTH
Provider Second Line Business Practice Location Address:
RITE AID PHARMACY
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-985-1431
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2010