Healthcare Provider Details

I. General information

NPI: 1316699077
Provider Name (Legal Business Name): CHC PHARMACY PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 GOLD HILL ELEMENTARY SCHOOL RD STE A
NEW CANTON VA
23123-2162
US

IV. Provider business mailing address

PO BOX 137
NEW CANTON VA
23123-0137
US

V. Phone/Fax

Practice location:
  • Phone: 434-380-8788
  • Fax:
Mailing address:
  • Phone: 434-581-4901
  • Fax: 434-581-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID W CHRISTIAN
Title or Position: PRESIDENT
Credential: RPH
Phone: 434-390-8788