Provider Demographics
NPI:1427911676
Name:HOUCHENS EXPRESS PHARMACY, LLC
Entity type:Organization
Organization Name:HOUCHENS EXPRESS PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:BIDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-901-3431
Mailing Address - Street 1:3158 LOUISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-7102
Mailing Address - Country:US
Mailing Address - Phone:270-901-3431
Mailing Address - Fax:270-901-3422
Practice Address - Street 1:3158 LOUISVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-7102
Practice Address - Country:US
Practice Address - Phone:270-901-3431
Practice Address - Fax:270-901-3422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUCHENS INDUSTRIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies