# HOUCHENS EXPRESS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sheldon's Express Pharmacy \#9
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427619865
- **Authorized official:** MS. LESLIE LYN BIDWELL CPHT (OPERATIONS COORDINATOR)
- **Authorized official phone:** (270) 901-3431

## Contact information

- **Practice address:** 1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
- **Practice address phone:** (618) 263-9101
- **Mailing address:** 1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
- **Mailing address phone:** (618) 263-9101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 054.021282 | IL PHARMACY PERMIT | IL |
| 01 | — | 1495541 | NCPDP | — |
| 01 | — | 320.013069 | ILLINOIS CSR | IL |