Provider First Line Business Practice Location Address:
111 MOTT STREET
Provider Second Line Business Practice Location Address:
CHINATOWN PHARMACY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-226-8988
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2016