| NPI | 1790240489 |
|---|---|
| Doing Business As | ST. JUDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED J ALAHMED Pharmacist In Charge 815-900-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-04-12 |