Provider First Line Business Practice Location Address:
124 BRIGHTON 11TH ST
Provider Second Line Business Practice Location Address:
PHARMACY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11235-5361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-934-0022
Provider Business Practice Location Address Fax Number:
718-934-1383
Provider Enumeration Date:
04/16/2015