MEDICARE: CHARLOTTE FAMILY PHARMACY

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	3336S0011X	Specialty Pharmacy
2	3336C0003X	Community/Retail Pharmacy	13240	NC

General Provider Information

NPI Number	:	1609302173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLOTTE FAMILY PHARMACY

Provider Business Mailing Address
First Line	:	7008 E WT HARRIS BLVD STE 4
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4298
Country	:	US
Telephone Number	:	704-885-5669
Fax Number	:	704-536-2420

Provider Business Practice Location Address
First Line	:	7008 E WT HARRIS BLVD STE 4
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4298
Country	:	US
Telephone Number	:	704-885-5669
Fax Number	:	704-800-4996

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	DORIAN ROMAN KUROPAS
Credential	:	PHARMD
Telephone Number	:	704-885-5669

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	10/22/2025

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Directions to “CHARLOTTE FAMILY PHARMACY ” Practice Location

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