MEDICARE: H & S PHARMACY OF CHAPEL HILL INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	1348	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497895536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & S PHARMACY OF CHAPEL HILL INC.

Provider Business Mailing Address
First Line	:	PO BOX 98
Second Line	:
City	:	CHAPEL HILL
State	:	TN
Zip	:	37034-0098
Country	:	US
Telephone Number	:	931-364-2236
Fax Number	:	931-364-3020

Provider Business Practice Location Address
First Line	:	4708 NASHVILLE HWY
Second Line	:
City	:	CHAPEL HILL
State	:	TN
Zip	:	37034-2110
Country	:	US
Telephone Number	:	931-364-2236
Fax Number	:	931-364-3020

Authorized Official
Title or Position	:	CFO, OWNER,
Name	:	CHRIS KONECNY
Credential	:
Telephone Number	:	931-364-2236

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/22/2021

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