OrganizationActive
Pruitthealth Pharmacy Services - Charlotte Hall, Inc
NPI 1356749592 · Long Term Care Pharmacy · Charlotte Hall, MD
Provider details
- NPI number
- 1356749592
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lynethia Holley, Provider Enrollment Specialist(770) 506-6875
Specialties & taxonomies
Suppliers
Practice location
29449 Charlotte Hall Rd
Charlotte Hall, MD 20622
Phone: (704) 548-7730
Approximate (ZIP-level) locationGet directions
Mailing address
1626 Jeurgens Ct
Norcross, GA 30093
Other names (DBA / former)
- Doing business as
- Charlotte Hall Pharmacy
- Doing business as
- Charlotte Hall Pharmacy
Registry dates
- Enumerated
- 2014-12-19
- Last updated
- 2024-04-24
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.