Organization
CHS PHARMACY SERVICES INC
Active
Other names
Atrium Health Pharmacy Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS COLE WILSON (AVP PHARMACY SERVICES)
(704) 446-1404
Entity
Organization
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025
(704) 403-1568
(704) 403-1784
Mailing address
PO BOX 603216, CHARLOTTE, NC 28260-3216
(704) 512-7637
(704) 512-7630
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12984
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135699
—
NC
01
—
2069332
PK
—
Enumeration date
06/24/2006
Last updated
03/25/2021
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