<Unavail>

LBN: Saint Mary And Jessie Llc
<Unavail> is an health care organization with primary practice located at 288 Smith St , Perth Amboy NJ 08861-4042. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Saint Mary And Jessie Llc can be contacted via phone (732) 324-4490, or through Dawod, Ashraf via phone (732) 324-4490.

Contact Information

Primary practice address
288 Smith St Perth Amboy NJ 08861-4042
Phone: (732) 324-4490
Fax: (732) 324-4491
Website:
Map and Directions
Authorized official contact:
Name: Dawod, Ashraf
Phone: (732) 324-4490

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00645500 New Jersey
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1245245869
LBN Legal business name Saint Mary And Jessie Llc
DBA Doing business as <Unavail>
Authorized official Dawod, Ashraf
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 28th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245245869 NPPES
Other 2055524 PK
MEDICAID 0061999 PK

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