St Elizabeths Hshs in Springfield - Community/retail Pharmacy
St Elizabeths Hshs - NPI 1366507485
St Elizabeths Hshs is a Community/retail Pharmacy in Springfield, Illinois. St Elizabeths Hshs practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for St Elizabeths Hshs is 1366507485. The last update date is 2023-09-19.
St Elizabeths Hshs's current location address is 3051 Hollis Dr, Springfield, Illinois. You can contact this provider via phone number 6182342120 and fax number 6182224786. The mailing address for St Elizabeths Hshs is 3051 Hollis Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Elizabeths Hshs |
|---|---|
| Address | 3051 Hollis Dr, Springfield, Illinois |
| Phone Number | 6182342120 |
| Fax Number | 6182224786 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF REVE |
|---|---|
| Authorized Official Name | Evard D Mark |
| Telephone Number | 2174929651 |
NPI Number Detail
| NPI Number | 1366507485 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | 3051 Hollis Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047450 |
| Phone Number | 6182342120 |
| Fax Number | 6182224786 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 054017328 05 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1470676 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the St Elizabeths Hshs's 1366507485?
The St Elizabeths Hshs's NPI (National Provider Identifier) Number is 1366507485. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where St Elizabeths Hshs is geographically located?
The St Elizabeths Hshs is physically situated at the following location: 3051 Hollis Dr, Springfield, IL, 627047450.
What is the area of specialization for St Elizabeths Hshs, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St Elizabeths Hshs is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
On what date did the St Elizabeths Hshs receive the assignment of its 1366507485 from the Centers for Medicare & Medicaid Services?
The St Elizabeths Hshs was issued its 1366507485 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date was the information regarding St Elizabeths Hshs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St Elizabeths Hshs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-19.