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Organization
SAINT MARY AND JESSIE LLC
Active
Organization
SAINT MARY AND JESSIE LLC
Active
Other names
ADVANCED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF DAWOD (OWNER)
(732) 324-4490
Entity
Organization
Contact information
Practice address
288 SMITH ST, PERTH AMBOY, NJ 08861-4042
(732) 324-4490
(732) 324-4491
Mailing address
288 SMITH ST, PERTH AMBOY, NJ 08861-4042
(732) 324-4490
(732) 324-4491
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00645500
NJ
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
07/30/2006
Last updated
07/28/2016
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