Organization · Type 2 NPI

ST Elizabeths Hospital of the Hospital Sisters of the Third Order

Community/Retail Pharmacy · O Fallon, IL

NPI number 1669969531 Active

Practice location

3 Saint Elizabeth Blvd Ste 1300
O Fallon, IL 62269-1281

Call (618) 607-5111 Map

Fax (217) 610-8438

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	054.020399 (IL)
Specialty Pharmacy	3336S0011X	054.020399 (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 …

Other community/retail pharmacy providers in O Fallon

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NPI record

NPI: 1669969531
Entity type: Organization (Type 2)
Issued: Apr 17, 2018
Last updated: Oct 31, 2024
Status: Active
Subpart: Yes of ST Elizabeths Hospital Sister of the Third Order of ST Francis

Other names

<unavail>
HSHS St. Elizabeth's Community Pharmacy · doing business as
HSHS St. Elizabeth's Community 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 1669969531

ST Elizabeths Hospital of the Hospital Sisters of the Third Order's National Provider Identifier is 1669969531, issued on Apr 17, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in O Fallon, IL. The record was last updated on Oct 31, 2024.