Pruitthealth Pharmacy Services - Charlotte Hall, Inc
Long Term Care Pharmacy
29449 Charlotte Hall Rd, Charlotte Hall
Maryland, 20622
704-548-7730 Pruitthealth Pharmacy Services - Charlotte Hall, Inc is a Long Term Care Pharmacy in Charlotte Hall, Maryland. It is located at 29449 Charlotte Hall Rd, Charlotte Hall and it's customer support contact number is 704-548-7730. The authorized person of Pruitthealth Pharmacy Services - Charlotte Hall, Inc is Mrs. Lynethia N Holley who is Provider Enrollment Specialist of the pharmacy and her contact number is 770-506-6875.
Pruitthealth Pharmacy Services - Charlotte Hall, Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Pruitthealth Pharmacy Services - Charlotte Hall, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pruitthealth Pharmacy Services - Charlotte Hall, Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 29449 Charlotte Hall Rd, Charlotte Hall,
Maryland, 20622 |
| Phone: | 704-548-7730 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Lynethia N Holley |
| Position: | Provider Enrollment Specialist |
| Contact Number: | 770-506-6875 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1356749592 |
| NPI Enumeration Date: | 19 Dec, 2014 |
| NPI Last Update On: | 24 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pruitthealth Pharmacy Services - Charlotte Hall, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PW0548 | Other | Maryland | State License |
| 269091800 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1626 Jeurgens Ct,
Norcross, Georgia |
| Zip: | 30093 |
| Phone Number: | 770-279-6200 |
| Fax Number: | 833-679-5232 |
Patients can reach Pruitthealth Pharmacy Services - Charlotte Hall, Inc at
29449 Charlotte Hall Rd, Charlotte Hall, Maryland or can
call on customer care at 704-548-7730.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.