Provider Demographics
NPI:1144206509
Name:HLS PHARMACIES INC.
Entity Type:Organization
Organization Name:HLS PHARMACIES INC.
Other - Org Name:HLS HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:STRADTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-759-6157
Mailing Address - Street 1:420 NW 5TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1314
Mailing Address - Country:US
Mailing Address - Phone:812-759-6155
Mailing Address - Fax:812-421-0619
Practice Address - Street 1:1103 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CARMI
Practice Address - State:IL
Practice Address - Zip Code:62821-1380
Practice Address - Country:US
Practice Address - Phone:618-382-5405
Practice Address - Fax:618-382-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203-000747332B00000X, 332BP3500X, 332BX2000X
IL0054-013272333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========004Medicaid