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NPI Code Detail

MEDICARE: CHS PHARMACY SERVICES INC

MEDICARE: CHS PHARMACY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy12884NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22069674OTHERPK

General Provider Information

NPI Number : 1003973496
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHS PHARMACY SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 603216
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3216
Country : US
Telephone Number : 980-323-5550
Fax Number : 989-323-5551
Provider Business Practice Location Address
First Line : 269 S MAIN ST
Second Line :
City : NORWOOD
State : NC
Zip : 28128-6435
Country : US
Telephone Number : 980-323-5550
Fax Number : 980-323-5551
Authorized Official
Title or Position : AVP PHARMACY SERVICES
Name : NICHOLAS COLE WILSON
Credential :
Telephone Number : 704-512-7628
Provider Enumeration Date : 01/03/2007
Last Update Date : 03/25/2021

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Directions to “CHS PHARMACY SERVICES INC ” Practice Location

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