# SAINT MARY AND JESSIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245245869
- **Authorized official:** ASHRAF DAWOD (OWNER)
- **Authorized official phone:** (732) 324-4490

## Contact information

- **Practice address:** 288 SMITH ST, PERTH AMBOY, NJ 08861-4042
- **Practice address phone:** (732) 324-4490
- **Practice address fax:** (732) 324-4491
- **Mailing address:** 288 SMITH ST, PERTH AMBOY, NJ 08861-4042
- **Mailing address phone:** (732) 324-4490
- **Mailing address fax:** (732) 324-4491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00645500 | NJ | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 07/28/2016