Organization · Type 2 NPI

Lourdes Medical Associates PA

Non-Pharmacy Dispensing Site · Cherry Hill, NJ

NPI number 1033530837 Active

Practice location

101 Barclay Pavilion W
Cherry Hill, NJ 08034-2139

Call (856) 429-4179 Map

Mailing address

9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	25MA06291300 (NJ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Another provider at this address

Lourdes Medical Associates, PAFamily Medicine Physician Cherry Hill, NJ NPI 1316117294

Other non-pharmacy dispensing site providers in Cherry Hill

See all in Cherry Hill →

NPI record

NPI: 1033530837
Entity type: Organization (Type 2)
Issued: Dec 20, 2013
Last updated: Dec 2, 2015
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Lma Cherry Hill Family and Internal Medicine · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033530837

Lourdes Medical Associates PA's National Provider Identifier is 1033530837, issued on Dec 20, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Cherry Hill, NJ. The record was last updated on Dec 2, 2015.