Provider Demographics
NPI:1790538387
Name:CHME PHARMACY LLC
Entity Type:Organization
Organization Name:CHME PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-931-8710
Mailing Address - Street 1:1101B CHESS DR
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1102
Mailing Address - Country:US
Mailing Address - Phone:650-503-6374
Mailing Address - Fax:650-240-3907
Practice Address - Street 1:1101B CHESS DR
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1102
Practice Address - Country:US
Practice Address - Phone:650-503-6374
Practice Address - Fax:650-240-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy