St. Jude Pharmacy, LLC

NPI #1104578277 in Conroe, Texas

Provider Information

NPI Number
1104578277
Entity Type
Organization
Organization Name
St. Jude Pharmacy, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 20, 2022
Last Updated
Jan 20, 2022

Practice Location

Address
203 E DAVIS ST STE B
City
Conroe
State
Texas
ZIP Code
77301-3160
Phone
(936) 217-1018

Authorized Official

Name
MRS. ANIEFIOK INNOCENT USORO, RN
Title
ADMINISTRATOR
Phone
(832) 419-1152

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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