Organization
HOUCHENS EXPRESS PHARMACY, LLC
Active
Other names
Sheldon's Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE LYN BIDWELL (OPERATIONS COORDINATOR)
(270) 901-3431
Entity
Organization
Contact information
Practice address
843 FAIRVIEW AVE, SUITE 5B, BOWLING GREEN, KY 42101-4914
(270) 901-3431
(270) 901-3422
Mailing address
843 FAIRVIEW AVE, SUITE 5B, BOWLING GREEN, KY 42101-4914
(270) 901-3431
(270) 901-3422
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
P07778
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P07778
PHARMACY LICENSE
KY
Enumeration date
07/26/2016
Last updated
07/26/2016
Update your record
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