Provider First Line Business Practice Location Address:
567 WEST 207TH ST
Provider Second Line Business Practice Location Address:
PAYLESS RX PHARMACY. INC.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-544-0020
Provider Business Practice Location Address Fax Number:
212-544-0122
Provider Enumeration Date:
02/23/2012