Provider Demographics
NPI:1437216827
Name:SAINT FRANCIS HOSPITAL
Entity Type:Organization
Organization Name:SAINT FRANCIS HOSPITAL
Other - Org Name:SAINT FRANCIS HOSPITAL OUTPATIENT PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-494-1059
Mailing Address - Street 1:6161 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1902
Mailing Address - Country:US
Mailing Address - Phone:918-494-1169
Mailing Address - Fax:918-494-6379
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-494-1169
Practice Address - Fax:918-494-6379
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT FRANCIS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336L0003X
OK232253336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3708320OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3708320OtherOTHER ID NUMBER