NPI 1104578277
St. Jude Pharmacy, LLC
Practice location
- Address
- 203 E Davis St STE B, Conroe, TX 77301-3160
- Phone
- (936) 217-1018
- Fax
- (936) 217-1019
- Mailing address
- PO Box 2269, Stafford, TX 77497-2269
Authorised official
- Name
- Aniefiok Innocent Usoro
- Title
- Administrator
- Phone
- (832) 419-1152
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1104578277
- Entity type
- Organization
- NPI issued
- 20 Jan 2022
- Record last updated
- 20 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.