Organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC.
Active
Organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC.
Active
Other names
St Jude Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HUMPHREY D PH MS MBA (DIRECTOR)
(901) 595-2233
Entity
Organization
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-2237
(901) 595-3111
Mailing address
PO BOX 1000, DEPT. 338, MEMPHIS, TN 38148-0338
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330645
—
MS
05
—
145570407
—
AR
01
—
2088542
PK
—
05
—
4414431
—
TN
Enumeration date
08/10/2006
Last updated
08/15/2023
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