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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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