Kennedy Pharmacy

LBN: Gus Pharmacy, Llc
Kennedy Pharmacy is an health care organization with primary practice located at 42 E Laurel Rd Suite 1900, Stratford NJ 08084-1354. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gus Pharmacy, Llc can be contacted via phone (856) 346-3535, or through Tzaferos, Konstantinos via phone (856) 346-3535.

Contact Information

Primary practice address
42 E Laurel Rd Suite 1900 Stratford NJ 08084-1354
Fax: (856) 346-4953
Website:
Authorized official contact:
Name: Tzaferos, Konstantinos PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00255700 New Jersey

Profile Details

NPI number 1336326941
LBN Legal business name Gus Pharmacy, Llc
DBA Doing business as Kennedy Pharmacy
Authorized official Tzaferos, Konstantinos PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2008
Last updated Oct 28th, 2020 - about 6 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 1336326941 NPPES
New Jersey MEDICAID 4314808

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