Healthcare Provider Details

I. General information

NPI: 1265357875
Provider Name (Legal Business Name): HANNAH LEE SCHICHTL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41934 HWY 12
AVON NC
27915
US

IV. Provider business mailing address

5016 REEDY BRANCH RD
WINTERVILLE NC
28590-7761
US

V. Phone/Fax

Practice location:
  • Phone: 252-995-3811
  • Fax: 252-995-7955
Mailing address:
  • Phone: 479-650-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34902
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: