| NPI | 1689978645 |
|---|---|
| Doing Business As | ST JUDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RATHNA VEERAMACHANANI President 201-780-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 17-030756) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 17-030756) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2015-10-27 |