MEDICARE: CHARLOTTA KING HOWELL

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	183500000X	Pharmacist	08109	NC

General Provider Information

NPI Number	:	1730821299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTA KING HOWELL

Provider Business Mailing Address
First Line	:	138 JAMAICA DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-2734
Country	:	US
Telephone Number	:	434-579-0397
Fax Number	:

Provider Business Practice Location Address
First Line	:	6435 CAROLINA BEACH RD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-2909
Country	:	US
Telephone Number	:	910-392-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/13/2022

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