Provider First Line Business Practice Location Address:
470 ROUTE 211 E
Provider Second Line Business Practice Location Address:
PHARMACY
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10940-2245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-342-0381
Provider Business Practice Location Address Fax Number:
845-342-0387
Provider Enumeration Date:
11/02/2007