Provider Demographics
NPI:1235138652
Name:CHM ENTERPRISES, INC
Entity Type:Organization
Organization Name:CHM ENTERPRISES, INC
Other - Org Name:KEN'S SAV-ON DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:O
Authorized Official - Last Name:HAMILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:501-268-5540
Mailing Address - Street 1:2221 W BEEBE CAPPS EXPY
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-5018
Mailing Address - Country:US
Mailing Address - Phone:501-268-1120
Mailing Address - Fax:501-268-0326
Practice Address - Street 1:2221 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5018
Practice Address - Country:US
Practice Address - Phone:501-268-1120
Practice Address - Fax:501-268-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR-20200333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5603010001Medicare NSC