# PETERSONRX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peterson Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265854343
- **Authorized official:** DOW JONES (OWNER)
- **Authorized official phone:** (732) 721-0137

## Contact information

- **Practice address:** 125 N BROADWAY, SOUTH AMBOY, NJ 08879-1639
- **Practice address phone:** (732) 721-0137
- **Practice address fax:** (732) 721-0134
- **Mailing address:** 125 N BROADWAY, SOUTH AMBOY, NJ 08879-1639
- **Mailing address phone:** (732) 721-0137
- **Mailing address fax:** (732) 721-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00559800 | NJ | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 01/09/2014