Provider Demographics
NPI:1255379921
Name:HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:HEALTH CARE SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:TUCK
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-272-1169
Mailing Address - Street 1:115 S ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2601
Mailing Address - Country:US
Mailing Address - Phone:336-272-1169
Mailing Address - Fax:336-272-2891
Practice Address - Street 1:115 S ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2601
Practice Address - Country:US
Practice Address - Phone:336-272-1169
Practice Address - Fax:336-272-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC060983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0417386Medicaid