MEDICARE: CHS, 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
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy	0201004304	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2177148	OTHER		PK

General Provider Information

NPI Number	:	1275020521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHS, INC

Provider Business Mailing Address
First Line	:	3737 W MAIN ST
Second Line	:	STE 106
City	:	SALEM
State	:	VA
Zip	:	24153-2072
Country	:	US
Telephone Number	:	540-380-2940
Fax Number	:	540-444-7321

Provider Business Practice Location Address
First Line	:	3737 W MAIN ST STE 106
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-2073
Country	:	US
Telephone Number	:	540-380-2940
Fax Number	:	540-444-7321

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ADRIAN WILSON
Credential	:
Telephone Number	:	540-526-1450

Provider Enumeration Date	:	04/21/2018
Last Update Date	:	06/30/2020

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Directions to “CHS, INC ” Practice Location

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