NPI 1669969531

St Elizabeths Hospital of the Hospital Sisters of the Third Order

Organisation Community/Retail Pharmacy O Fallon, IL

Practice location

Address: 3 Saint Elizabeth Blvd STE 1300, O Fallon, IL 62269-1281
Phone: (618) 607-5111
Fax: (217) 610-8438
Mailing address: 3051 Hollis Dr, Springfield, IL 62704-7450

Authorised official

Name: Mark D Evard
Title: Vp of Revenue Cycle
Phone: (217) 492-9651

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 054.020399 (IL)

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Specialty Pharmacy

Suppliers Taxonomy 3336S0011X Licence 054.020399 (IL)

Registry record

NPI: 1669969531
Entity type: Organization
NPI issued: 17 Apr 2018
Record last updated: 31 Oct 2024

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.