Provider Demographics
NPI:1558347914
Name:HLS PHARMACIES INC.
Entity Type:Organization
Organization Name:HLS PHARMACIES INC.
Other - Org Name:HLS HOME MEDICAL EQUIPMENT
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 1:1000 N CARBON ST STE S-T
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-1057
Mailing Address - Country:US
Mailing Address - Phone:618-997-9385
Mailing Address - Fax:618-997-8946
Practice Address - Street 1:1000 N CARBON ST STE S-T
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-1057
Practice Address - Country:US
Practice Address - Phone:618-997-9385
Practice Address - Fax:618-997-8946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203-000492332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1204470019Medicare NSC