MEDICARE: OAK HILL PHARMACY, 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	332B00000X	Durable Medical Equipment & Medical Supplies	60000715A	IN
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	60000715A	IN
3	333600000X	Pharmacy	60000715A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1505948	OTHER	IN	NABP

General Provider Information

NPI Number	:	1700889300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK HILL PHARMACY, INC.

Provider Business Mailing Address
First Line	:	1924 E MORGAN AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47711-4308
Country	:	US
Telephone Number	:	812-425-4422
Fax Number	:	812-421-1066

Provider Business Practice Location Address
First Line	:	1924 E MORGAN AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47711-4308
Country	:	US
Telephone Number	:	812-425-4422
Fax Number	:	812-421-1066

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. LARRY J. SCHULTHEIS
Credential	:
Telephone Number	:	812-425-4422

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/30/2008

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Directions to “OAK HILL PHARMACY, INC. ” Practice Location

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