Organization · Type 2 NPI

ST Jude Pharmacy, Inc.

Community/Retail Pharmacy · Joliet, IL

NPI number 1790240489 Active

Practice location

301 Madison St Ste 114
Joliet, IL 60435-6549

Fax (815) 900-5500

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Joliet

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NPI record

NPI: 1790240489
Entity type: Organization (Type 2)
Issued: Feb 6, 2019
Last updated: Apr 12, 2019
Status: Active

Other names

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St. Jude Pharmacy · doing business as
St. Jude Pharmacy · doing business as

Authorized official

Mohammed J Alahmed, RPH.
Pharmacist In Charge
(815) 900-9000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790240489

ST Jude Pharmacy, Inc.'s National Provider Identifier is 1790240489, issued on Feb 6, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Joliet, IL. The record was last updated on Apr 12, 2019.