Organization
CHS PHARMACY SERVICES, INC.
Active
Other names
Atrium Health Pharmacy SouthPark
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS COLE WILSON (AVP PHARMACY SERVICES)
(704) 512-7628
Entity
Organization
Contact information
Practice address
4525 CAMERON VALLEY PKWY STE 1200, CHARLOTTE, NC 28211-4371
(704) 512-6040
(704) 512-6041
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
13265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602128
—
NC
01
—
2066537
PK
—
Enumeration date
09/17/2007
Last updated
03/07/2023
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