Provider Demographics
NPI:1487191599
Name:SAINT FRANCIS PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:SAINT FRANCIS PHARMACY SERVICES INC
Other - Org Name:SAINT FRANCIS ONCOLOGY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-502-7350
Mailing Address - Street 1:11212 E 48TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-5806
Mailing Address - Country:US
Mailing Address - Phone:918-556-7125
Mailing Address - Fax:918-556-7067
Practice Address - Street 1:11212 E 48TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-5806
Practice Address - Country:US
Practice Address - Phone:918-556-7125
Practice Address - Fax:918-556-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336S0011X
OK2-78393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200696460AMedicaid
2167562OtherPK