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NPI Code Detail

MEDICARE: CHARIS PHARMACY LLC

MEDICARE: CHARIS PHARMACY LLC
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
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1801728670
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARIS PHARMACY LLC
Provider Business Mailing Address
First Line : 775 PRIMERA BLVD STE 1031
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-2190
Country : US
Telephone Number : 407-603-1633
Fax Number : 321-204-7073
Provider Business Practice Location Address
First Line : 775 PRIMERA BLVD STE 1031
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-2190
Country : US
Telephone Number : 407-603-1633
Fax Number : 321-204-7073
Authorized Official
Title or Position : PHARMACY MANAGER
Name : ELIZABETH MAKAR
Credential : PHARMD
Telephone Number : 352-434-9693
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/13/2026

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Directions to “CHARIS PHARMACY LLC ” Practice Location

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