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1730294430
JOHN G PETERSEN
PENNSVILLE, NJ
NPI
1730294430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28RI01431300)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
Mr. JOHN G PETERSEN rph
193 N BROADWAY
PENNSVILLE, NJ 08070-1417
Phone number: 856-678-2122
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Mailing Address
Mr. JOHN G PETERSEN rph
4 HARVARD AVE
BLACKWOOD, NJ 08012-2510
Phone number: 856-232-0230
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