Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
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
Legal business name
ST ELIZABETHS HOSPITAL SISTER OF THE THIRD ORDER OF ST FRANCIS
Authorized official
MARK D EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 1300, O FALLON, IL 62269-1281
(618) 607-5111
(217) 610-8438
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(618) 607-5111
(217) 610-8438
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.020399
IL
3336S0011X
Specialty Pharmacy
054.020399
IL
Other
Enumeration date
04/17/2018
Last updated
10/31/2024
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