Provider Demographics
NPI:1619952363
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 1:901 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47567-1354
Practice Address - Country:US
Practice Address - Phone:812-354-3643
Practice Address - Fax:812-354-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN69000838A332B00000X
332BX2000X
IN60004855333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200488120AMedicaid
IN100203510AMedicaid
IN200488120AMedicaid