Healthcare Provider Details
I. General information
NPI: 1437216827
Provider Name (Legal Business Name): SAINT FRANCIS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2007
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6161 S YALE AVE
TULSA OK
74136-1902
US
IV. Provider business mailing address
6161 S YALE AVE
TULSA OK
74136-1902
US
V. Phone/Fax
- Phone: 918-494-1169
- Fax: 918-494-6379
- Phone: 918-494-1169
- Fax: 918-494-6379
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336I0012X |
| Taxonomy | Institutional Pharmacy |
| License Number | 23225 |
| License Number State | OK |
VIII. Authorized Official
Name:
BRENDA
BRINKMEYER
Title or Position: PHARMACY SUPERVISOR
Credential:
Phone: 918-494-1059