Organization
ST JUDE MEDICAL SUPPLY
Active
Other names
st. jude medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDE NWAODU (PRESIDENT)
(919) 618-8033
Entity
Organization
Contact information
Practice address
3900 MERTON DR STE 130, RALEIGH, NC 27609-6636
(984) 242-4742
Mailing address
3900 MERTON DR STE 130, RALEIGH, NC 27609-6636
(984) 242-4742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
06/25/2021
Last updated
01/11/2023
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