Provider Demographics
NPI:1740810852
Name:CHC CARE SPECIALTY PHARMACY AND CONSULTANTS LLC
Entity type:Organization
Organization Name:CHC CARE SPECIALTY PHARMACY AND CONSULTANTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IKE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGBUCHUNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-669-2389
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-0031
Mailing Address - Country:US
Mailing Address - Phone:972-807-2527
Mailing Address - Fax:972-707-7735
Practice Address - Street 1:14211 COIT RD STE 1
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-2862
Practice Address - Country:US
Practice Address - Phone:972-807-2527
Practice Address - Fax:972-707-7735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy