Healthcare Provider Details

I. General information

NPI: 1831205442
Provider Name (Legal Business Name): CHS PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16455 STATESVILLE RD STE 101
HUNTERSVILLE NC
28078-7135
US

IV. Provider business mailing address

PO BOX 603216
CHARLOTTE NC
28260-3216
US

V. Phone/Fax

Practice location:
  • Phone: 704-801-2566
  • Fax: 704-801-2585
Mailing address:
  • Phone: 704-512-7637
  • Fax: 704-512-7630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number13266
License Number StateNC

VIII. Authorized Official

Name: KIM BINION RICHARDS
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 704-512-7637