# ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST ELIZABETHS HOSPITAL SISTER OF THE THIRD ORDER OF ST FRANCIS
- **Other names:** HSHS ST. ELIZABETH'S COMMUNITY PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669969531
- **Legal business name:** ST ELIZABETHS HOSPITAL SISTER OF THE THIRD ORDER OF ST FRANCIS
- **Authorized official:** MARK D EVARD (VP OF REVENUE CYCLE)
- **Authorized official phone:** (217) 492-9651

## Contact information

- **Practice address:** 3 SAINT ELIZABETH BLVD STE 1300, O FALLON, IL 62269-1281
- **Practice address phone:** (618) 607-5111
- **Practice address fax:** (217) 610-8438
- **Mailing address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Mailing address phone:** (618) 607-5111
- **Mailing address fax:** (217) 610-8438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054.020399 | IL | Yes |
| 3336S0011X | Specialty Pharmacy | 054.020399 | IL | — |

## Other

- **Enumeration date:** 04/17/2018
- **Last updated:** 10/31/2024