Organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA BENTON (LEAD MANAGED CARE SPECAILIST)
(901) 595-6863
Entity
Organization
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-2237
(901) 595-3111
Mailing address
262 DANNY THOMAS PL # MS 150, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4414431
—
TN
Enumeration date
02/04/2011
Last updated
05/08/2026
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