Organization
HOUCHENS EXPRESS PHARMACY LLC
Active
Organization
HOUCHENS EXPRESS PHARMACY LLC
Active
Other names
SHELDONS EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BIDWELL (OPERATIONS COORDINATOR)
(812) 661-8684
Entity
Organization
Contact information
Practice address
815 SYCAMORE ST, ROCKPORT, IN 47635-1123
(812) 649-2227
(812) 649-3253
Mailing address
815 SYCAMORE ST, ROCKPORT, IN 47635-1123
(812) 649-2227
(812) 649-3253
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006377A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201226620A
—
IN
01
—
2145889
PK
—
Enumeration date
01/11/2007
Last updated
08/23/2024
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