Healthcare Provider Details

I. General information

NPI: 1780626135
Provider Name (Legal Business Name): CHS PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 12/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 GOLF ACRES DR BLDG J STE C
CHARLOTTE NC
28208-5968
US

IV. Provider business mailing address

PO BOX 603216
CHARLOTTE NC
28260-3216
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-6800
  • Fax: 704-512-6801
Mailing address:
  • Phone: 704-512-6142
  • Fax: 704-512-7630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number16043
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12626
License Number StateNC

VIII. Authorized Official

Name: FRANK MCCREE
Title or Position: DIRECTOR, PHARMACY SERVICES
Credential: RPH
Phone: 704-512-7621