| NPI | 1922178730 |
|---|---|
| Doing Business As | ST JUDES PHCY AND SURG SPLY CORP |
| Entity Type | Organization |
| Authorized Contact | MITCHELL CHERVIN Supervising Phcst 718-381-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030756) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-10-03 |