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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