| NPI | 1376113068 |
|---|---|
| Former Legal Business Name | ST. JUDE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JUDE NWAODU President 919-618-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-01-11 |