Healthcare Provider Details

I. General information

NPI: 1093748741
Provider Name (Legal Business Name): CHS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 TYLER RD SUITE 1890
CHRISTIANSBURG VA
24073-6374
US

IV. Provider business mailing address

2001 CRYSTAL SPRING AVE SW
ROANOKE VA
24014-2462
US

V. Phone/Fax

Practice location:
  • Phone: 540-639-1647
  • Fax: 540-639-0151
Mailing address:
  • Phone: 540-676-7053
  • Fax: 540-639-0151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201002250
License Number StateVA

VIII. Authorized Official

Name: ADRIAN SHAWN REID WILSON
Title or Position: DIRECTOR
Credential:
Phone: 540-266-6191