Provider Demographics
NPI:1487053138
Name:ST. FRANCIS HOSPITAL
Entity type:Organization
Organization Name:ST. FRANCIS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CABBLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-562-6265
Mailing Address - Street 1:100 PORT WASHINGTON BLVD
Mailing Address - Street 2:PHARMACY DEPT.
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1347
Mailing Address - Country:US
Mailing Address - Phone:516-562-6261
Mailing Address - Fax:516-562-6264
Practice Address - Street 1:100 PORT WASHINGTON BLVD
Practice Address - Street 2:PHARMACY DEPT.
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1347
Practice Address - Country:US
Practice Address - Phone:516-562-6261
Practice Address - Fax:516-562-6264
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. FRANCIS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0105513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy