Organization
HOUCHENS EXPRESS PHARMACY LLC
Active
Other names
Sheldon's Express Pharmacy #9
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE LYN BIDWELL CPHT (OPERATIONS COORDINATOR)
(270) 901-3431
Entity
Organization
Contact information
Practice address
1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
(618) 263-9101
Mailing address
1325 W 9TH ST, MOUNT CARMEL, IL 62863-2906
(618) 263-9101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054.021282
IL PHARMACY PERMIT
IL
01
—
1495541
NCPDP
—
01
—
320.013069
ILLINOIS CSR
IL
Enumeration date
06/26/2019
Last updated
03/07/2023
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