Pruitthealth Pharmacy Services - Charlotte Hall, INC
NPI #1356749592 in Charlotte Hall, Maryland
Provider Information
- NPI Number
- 1356749592
- Entity Type
- Organization
- Organization Name
- Pruitthealth Pharmacy Services - Charlotte Hall, INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Dec 19, 2014
- Last Updated
- Apr 24, 2024
Practice Location
- Address
- 29449 CHARLOTTE HALL RD
- City
- Charlotte Hall
- State
- Maryland
- ZIP Code
- 20622
- Phone
- (704) 548-7730
Authorized Official
- Name
- MRS. LYNETHIA N HOLLEY
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (770) 506-6875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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