Provider Demographics
NPI:1780626135
Name:CHS PHARMACY SERVICES, INC.
Entity type:Organization
Organization Name:CHS PHARMACY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCREE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-512-7621
Mailing Address - Street 1:PO BOX 603216
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3216
Mailing Address - Country:US
Mailing Address - Phone:704-512-6142
Mailing Address - Fax:704-512-7630
Practice Address - Street 1:4400 GOLF ACRES DR
Practice Address - Street 2:BLDG J STE C
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5968
Practice Address - Country:US
Practice Address - Phone:704-512-6800
Practice Address - Fax:704-512-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16043333600000X
3336S0011X
NC126263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2067248OtherPK
SC7N8806Medicaid
NC0609966Medicaid
NC0609966Medicaid