Healthcare Provider Details

I. General information

NPI: 1902590581
Provider Name (Legal Business Name): ANNA ALEXIS HALE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWTHORNE LN
CHARLOTTE NC
28204-2515
US

IV. Provider business mailing address

200 HAWTHORNE LN
CHARLOTTE NC
28204-2515
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-4000
  • Fax: 704-316-9556
Mailing address:
  • Phone: 704-384-4000
  • Fax: 704-316-9556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number32402
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: