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St Jude Medical Supply
Parenteral & Enteral Nutrition Supplies (DME) in Raleigh, North Carolina
NPI 1376113068

St Jude Medical Supply is a Parenteral & Enteral Nutrition Supplies (DME) based in Raleigh, NC and is specialized in Parenteral & Enteral Nutrition. St Jude Medical Supply practices in Raleigh, NC. The NPI Number for St Jude Medical Supply is 1376113068 and holds a License No. (North Carolina).

The current practice location address for St Jude Medical Supply is 3900 Merton Dr Ste 130, Raleigh, NC and can be reached out via phone at 984-242-4742.

Location: 3900 Merton Dr Ste 130, Raleigh, NC, 27609-6636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376113068
Provider Name
St Jude Medical Supply
Credential
Provider Entity Type
Organization
Address
3900 Merton Dr Ste 130, Raleigh, NC, 27609-6636
Phone Number
984-242-4742
Fax Number
Provider Enumeration Date
06/25/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3900 Merton Dr Ste 130
City
Raleigh
State
North Carolina
Zip
27609-6636
Phone Number
984-242-4742
Fax Number
person
Provider Business Mailing Address Details
Address
3900 Merton Dr Ste 130
City
Raleigh
State
North Carolina
Zip
27609-6636
Phone Number
984-242-4742
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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