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General NPI Number Information
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NPI Number | 1467561423
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Entity Type | Organization
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Legal Business Name | CHS PHARMACY SERVICES INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 105 YADKIN ST STE 103
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City | ALBEMARLE
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State | NC
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Zip | 28001-3449
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Country | US
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Telephone | 980-323-8222
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Fax | 980-323-8223
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Provider Business Mailing Address
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Address Line | PO BOX 603216
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City | CHARLOTTE
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State | NC
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Zip | 28260-3216
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Country | US
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Telephone | 704-983-8222
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Fax | 704-983-8223
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Authorized Official
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Title or Position | AVP PHARMACY SERVICES
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Name | NICHOLAS COLE WILSON
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Credential |
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Telephone | 704-512-7628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12883
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License Number State | NC
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