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NPI 1144206509

NPI 1144206509 : HLS PHARMACIES INC. : CARMI, IL

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General NPI Number Information
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    NPI Number           |    1144206509
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    Entity Type          |    Organization 
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    Legal Business Name  |    HLS PHARMACIES INC. 
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Dates
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    Enumeration Date     |    12/19/2005
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    Last Update Date     |    08/17/2018
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Provider Practice Location Address
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    Address Line         |    1103 W MAIN ST 
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    City                 |    CARMI
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    State                |    IL
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    Zip                  |    62821-1380
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    Country              |    US
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    Telephone            |    618-382-5405
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    Fax                  |    618-382-2656
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Provider Business Mailing Address
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    Address Line         |    420 NW 5TH ST SUITE 1A
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47708-1314
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    Country              |    US
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    Telephone            |    812-759-6155
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    Fax                  |    812-421-0619
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. RICK W. STRADTNER 
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    Credential           |    R.PH.
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    Telephone            |    812-759-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    203-000747
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    203-000747
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    0054-013272
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    License Number State |    IL
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Taxonomy #4
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    203-000747
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    License Number State |    IL
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