St. Jude Pharmacy

LBN: St Jude Pharmacy, Inc.
St. Jude Pharmacy is an health care organization with primary practice located at 301 Madison St Ste 114 , Joliet IL 60435-6549. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Jude Pharmacy, Inc. can be contacted via phone (815) 900-9000, or through Alahmed, Mohammed J via phone (815) 900-9000.

Contact Information

Primary practice address
301 Madison St Ste 114 Joliet IL 60435-6549
Phone: (815) 900-9000
Fax: (815) 900-5500
Website:
Map and Directions
Authorized official contact:
Name: Alahmed, Mohammed J RPH.
Phone: (815) 900-9000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1790240489
LBN Legal business name St Jude Pharmacy, Inc.
DBA Doing business as St. Jude Pharmacy
Authorized official Alahmed, Mohammed J RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2019
Last updated Apr 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790240489 NPPES
Illinois Other 054021109 ILLINOIS DEPARTMENT IF FINANCIAL AND PROFESSIONAL REGULATION PHARMACY LICENSE
Illinois Other 320012950 ILLINOIS DEPARTMENT IF FINANCIAL AND PROFESSIONAL REGULATION PHARMACY LICENSE

Popular Providers