MEDICARE: FHC PHARMACY LLC

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

General Provider Information

NPI Number	:	1194657510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FHC PHARMACY LLC

Provider Business Mailing Address
First Line	:	PO BOX 556
Second Line	:
City	:	VINCENNES
State	:	IN
Zip	:	47591-0556
Country	:	US
Telephone Number	:	812-494-9516
Fax Number	:	812-494-9517

Provider Business Practice Location Address
First Line	:	1027 WASHINGTON AVE
Second Line	:
City	:	VINCENNES
State	:	IN
Zip	:	47591-2240
Country	:	US
Telephone Number	:	812-494-9516
Fax Number	:	812-494-9517

Authorized Official
Title or Position	:	CEO
Name	:	JENNIFER EMMONS
Credential	:
Telephone Number	:	812-494-9501

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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