# KENNEDY MEMORIAL HOSPITALS - UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy University Hospital-Stratford Division
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346579463
- **Authorized official:** JOSEPH LARIO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (856) 661-5350

## Contact information

- **Practice address:** 18 E LAUREL RD, STRATFORD, NJ 08084-1327
- **Practice address phone:** (856) 346-7319
- **Practice address fax:** (856) 346-6476
- **Mailing address:** 500 MARLBORO AVE, CHERRY HILL, NJ 08002-2020
- **Mailing address phone:** (856) 661-5350
- **Mailing address fax:** (856) 661-5244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 28RS00397200 | NJ | Yes |

## Other

- **Enumeration date:** 12/19/2009
- **Last updated:** 12/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3196602 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |