Organization
HOUCHENS EXPRESS PHARMACY LLC
Active
Other names
Sheldon's Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BIDWELL (PPHARMACY OPERATIONS COORDINATOR)
(270) 901-3431
Entity
Organization
Contact information
Practice address
843 FAIRVIEW AVE, BOWLING GREEN, KY 42101-4914
(270) 842-4515
(270) 783-7484
Mailing address
843 FAIRVIEW AVE, BOWLING GREEN, KY 42101-4914
(270) 842-4515
(270) 783-7484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07331
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119603
PK
—
05
—
7100083020
—
KY
Enumeration date
09/20/2006
Last updated
02/22/2017
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