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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