Provider Demographics
NPI:1497895536
Name:H & S PHARMACY OF CHAPEL HILL INC.
Entity Type:Organization
Organization Name:H & S PHARMACY OF CHAPEL HILL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, OWNER,
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KONECNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-364-2236
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37034-0098
Mailing Address - Country:US
Mailing Address - Phone:931-364-2236
Mailing Address - Fax:931-364-3020
Practice Address - Street 1:4708 NASHVILLE HWY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:TN
Practice Address - Zip Code:37034-2110
Practice Address - Country:US
Practice Address - Phone:931-364-2236
Practice Address - Fax:931-364-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3524804Medicaid
TN1164700001Medicare ID - Type Unspecified
TN3524804Medicaid