Provider First Line Business Practice Location Address:
255 B EAST 165TH ST
Provider Second Line Business Practice Location Address:
MORRIS PHARMACY
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-537-0365
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2006