Healthcare Provider Details
I. General information
NPI: 1831386226
Provider Name (Legal Business Name): CHS PHARMACY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
332 N TRADE ST STE 1300
MATTHEWS NC
28105
US
IV. Provider business mailing address
PO BOX 603216
CHARLOTTE NC
28260-3216
US
V. Phone/Fax
- Phone: 704-512-6870
- Fax: 704-512-6871
- Phone: 704-512-7637
- Fax: 704-512-7630
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | 13268 |
| License Number State | NC |
VIII. Authorized Official
Name:
KIM
BINION RICHARDS
Title or Position: PHARMACY SERVICES
Credential: RPH
Phone: 704-512-7637