Provider Demographics
NPI:1316329014
Name:CHRG GROUP LLC
Entity type:Organization
Organization Name:CHRG GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:EZZAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ATALLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:718-213-5173
Mailing Address - Street 1:7310 STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6711
Mailing Address - Country:US
Mailing Address - Phone:718-213-5173
Mailing Address - Fax:727-784-6210
Practice Address - Street 1:7310 STATE ROAD 52
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6711
Practice Address - Country:US
Practice Address - Phone:718-213-5173
Practice Address - Fax:727-784-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH291763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy