Organization
CHASE PHARMACY INC
Active
Other names
CHASE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SANSOM (PRESIDENT AND PHCIST)
(256) 851-1345
Entity
Organization
Contact information
Practice address
2700 WINCHESTER RD NE STE B, HUNTSVILLE, AL 35811-9230
(256) 851-1345
(256) 851-1347
Mailing address
2700 WINCHESTER RD NE STE B, HUNTSVILLE, AL 35811-9230
(256) 851-1345
(256) 851-1347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112719
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003664
—
AL
01
—
1995717
PK
—
Enumeration date
01/30/2007
Last updated
09/20/2018
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