| NPI | 1861297749 |
|---|---|
| Doing Business As | ST JUDE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED J ALAHMED CEO 815-900-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-02-15 |
| Last Update Date | 2025-02-15 |