Provider Demographics
NPI:1811995848
Name:HLS PHARMACIES INC
Entity type:Organization
Organization Name:HLS PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:SR
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 1:201 W 6TH ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3122
Practice Address - Country:US
Practice Address - Phone:812-482-4663
Practice Address - Fax:812-482-4433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60005016A3336L0003X, 332B00000X
IN60005016332BC3200X, 332BN1400X, 332BP3500X, 332BX2000X, 333600000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100295300Medicaid
IN100295300Medicaid