Provider Demographics
NPI:1639739584
Name:PIEDMONT HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PIEDMONT HEALTH SERVICES INC
Other - Org Name:CHAPEL HILL COMMUNITY HEALTH CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-951-7599
Mailing Address - Street 1:107 CONNER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7112
Mailing Address - Country:US
Mailing Address - Phone:919-951-7599
Mailing Address - Fax:919-951-7515
Practice Address - Street 1:107 CONNER DR STE 100
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7111
Practice Address - Country:US
Practice Address - Phone:919-951-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy