MEDICARE: HENCH ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	021749150	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3676371	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851589246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENCH ENTERPRISES INC

Provider Business Mailing Address
First Line	:	1340 W HIGH ST
Second Line	:	SUITE E
City	:	DEFIANCE
State	:	OH
Zip	:	43512-5302
Country	:	US
Telephone Number	:	419-782-0950
Fax Number	:	419-782-6047

Provider Business Practice Location Address
First Line	:	890 S CABLE RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-3468
Country	:	US
Telephone Number	:	419-221-2059
Fax Number	:	419-222-5272

Authorized Official
Title or Position	:	CORP SECRETARY
Name	:	THERESA STAFFORD
Credential	:
Telephone Number	:	419-782-0950

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	04/06/2012

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Directions to “HENCH ENTERPRISES INC ” Practice Location

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