Organization · Type 2 NPI

ST Elizabeths Hospital of the Hospital Sisters of the Third Order

Community/Retail Pharmacy · Belleville, IL

NPI number 1366507485 Active

Practice location

211 S 3rd St
Belleville, IL 62220-1915

Call (618) 234-2120 Map

Fax (618) 222-4786

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	054017328 051040885 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

74 other providers at this address

Other community/retail pharmacy providers in Belleville

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NPI record

NPI: 1366507485
Entity type: Organization (Type 2)
Issued: Dec 27, 2006
Last updated: Oct 31, 2024
Status: Active

Other names

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ST Elizabeths Hospital Outpatient Pharmacy · doing business as
ST Elizabeths Hospital Outpatient Pharmacy · doing business as

Authorized official

Mark D Evard
VP of Revenue Cycle
(217) 492-9651

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366507485

ST Elizabeths Hospital of the Hospital Sisters of the Third Order's National Provider Identifier is 1366507485, issued on Dec 27, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Belleville, IL. The record was last updated on Oct 31, 2024.