MEDICARE: CHARLOTTE'S HOMETOWN PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	3970	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477659035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLOTTE'S HOMETOWN PHARMACY

Provider Business Mailing Address
First Line	:	PO BOX 518
Second Line	:
City	:	CHARLOTTE
State	:	TN
Zip	:	37036-0518
Country	:	US
Telephone Number	:	615-789-9393
Fax Number	:	615-789-9330

Provider Business Practice Location Address
First Line	:	3369 HIGHWAY 48 N
Second Line	:
City	:	CHARLOTTE
State	:	TN
Zip	:	37036-4853
Country	:	US
Telephone Number	:	615-789-9393
Fax Number	:	615-789-9330

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	MS. STEPHANIE HEATH BATEY
Credential	:	RPH
Telephone Number	:	615-789-9393

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	06/06/2022

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Directions to “CHARLOTTE'S HOMETOWN PHARMACY ” Practice Location

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