Healthcare Provider Details

I. General information

NPI: 1801260864
Provider Name (Legal Business Name): HLS PHARMACIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 09/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 W BLOOMFIELD RD SUITE C
BLOOMINGTON IN
47403-2051
US

IV. Provider business mailing address

420 NW 5TH ST SUITE 1A
EVANSVILLE IN
47708-1314
US

V. Phone/Fax

Practice location:
  • Phone: 812-337-3268
  • Fax: 812-245-0686
Mailing address:
  • Phone: 812-759-6155
  • Fax: 812-421-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK W. STRADTNER
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 812-759-6157