Provider First Line Business Practice Location Address:
1199 AMBOY AVE
Provider Second Line Business Practice Location Address:
RITE AID DISTRICT OFFICE
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08837-2552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-906-5794
Provider Business Practice Location Address Fax Number:
732-906-5795
Provider Enumeration Date:
07/08/2010