Organization
ST. JUDE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANIEFIOK INNOCENT USORO RN (ADMINISTRATOR)
(832) 419-1152
Entity
Organization
Contact information
Practice address
203 E DAVIS ST STE B, CONROE, TX 77301-3160
(936) 217-1018
(936) 217-1019
Mailing address
PO BOX 2269, STAFFORD, TX 77497-2269
(832) 419-1152
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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