Organization
GUS PHARMACY, LLC
Active
Other names
Kennedy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTINOS TZAFEROS PHARMD (OWNER/RPIC)
(856) 346-3535
Entity
Organization
Contact information
Practice address
42 E LAUREL RD, SUITE 1900, STRATFORD, NJ 08084-1354
(856) 346-3535
(856) 346-4953
Mailing address
42 E LAUREL RD, SUITE 1900, STRATFORD, NJ 08084-1354
(856) 346-3535
(856) 346-4953
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00255700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4314808
—
NJ
Enumeration date
01/25/2008
Last updated
10/28/2020
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