Organization
HOUCHENS EXPRESS PHARMACY LLC
Active
Organization
HOUCHENS EXPRESS PHARMACY LLC
Active
Other names
Sheldon's Express Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN E SHELDON (PRESIDENT/CEO)
(270) 392-0821
Entity
Organization
Contact information
Practice address
5575 SCOTTSVILLE RD, BOWLING GREEN, KY 42104
(270) 715-0650
(270) 715-0655
Mailing address
843 FAIRVIEW AVE, BOWLING GREEN, KY 42101-4914
(270) 715-0650
(270) 715-0655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07661
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1834692
NCPDP
KY
05
—
7100335780
—
KY
01
—
K189870
MEDICARE FLU
KY
01
—
P07661
PHARMACY PERMIT
KY
Enumeration date
12/19/2014
Last updated
03/07/2023
Update your record
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