Provider Demographics
NPI:1831710441
Name:ST FRANCIS SERVICES LLC
Entity type:Organization
Organization Name:ST FRANCIS SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-372-2404
Mailing Address - Street 1:430 N MONITOR ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1595
Mailing Address - Country:US
Mailing Address - Phone:402-372-2404
Mailing Address - Fax:402-372-2360
Practice Address - Street 1:435 N MONITOR ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1554
Practice Address - Country:US
Practice Address - Phone:402-372-4060
Practice Address - Fax:402-372-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy