MEDICARE: CHARLOTTE ANN SMITH RPH

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	7893-40	WI

General Provider Information

NPI Number	:	1366303745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE ANN SMITH RPH

Provider Business Mailing Address
First Line	:	1650 N 121ST ST
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2905
Country	:	US
Telephone Number	:	414-915-4026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 N 121ST ST
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2905
Country	:	US
Telephone Number	:	414-915-4026
Fax Number	:

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

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “ CHARLOTTE ANN SMITH RPH” Practice Location

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