| NPI | 1235365495 |
|---|---|
| Doing Business As | ST JUDES PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | JORGE OTANO Owner/President 239-673-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24077) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2010-08-12 |