Healthcare Provider Details

I. General information

NPI: 1003937558
Provider Name (Legal Business Name): CHIMES PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 04/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 COLLEGE AVE
BERKELEY CA
94705-2749
US

IV. Provider business mailing address

3210 COLLEGE AVE
BERKELEY CA
94705-2749
US

V. Phone/Fax

Practice location:
  • Phone: 510-652-1990
  • Fax: 510-652-4527
Mailing address:
  • Phone: 510-652-1990
  • Fax: 510-652-4527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY32805
License Number StateCA

VIII. Authorized Official

Name: JOHN GELINAS
Title or Position: OWNER
Credential:
Phone: 510-652-1990