Healthcare Provider Details

I. General information

NPI: 1477927424
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: 03/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N 2ND ST
VINCENNES IN
47591-1304
US

IV. Provider business mailing address

PO BOX 8215
EVANSVILLE IN
47716-8215
US

V. Phone/Fax

Practice location:
  • Phone: 812-886-6902
  • Fax: 812-886-5473
Mailing address:
  • Phone: 812-759-6155
  • Fax: 812-421-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number60006611
License Number StateIN

VIII. Authorized Official

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