MEDICARE: HOPE PHARMACY, INC.

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1730738170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE PHARMACY, INC.

Provider Business Mailing Address
First Line	:	1330 N 25TH ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-5243
Country	:	US
Telephone Number	:	804-537-0103
Fax Number	:	804-250-8499

Provider Business Practice Location Address
First Line	:	1330 N 25TH ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-5243
Country	:	US
Telephone Number	:	804-537-0103
Fax Number	:	804-250-8499

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. SHANTELLE LEWIS BROWN
Credential	:	PHARM.D.
Telephone Number	:	804-537-0103

Provider Enumeration Date	:	09/09/2019
Last Update Date	:	09/09/2019

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Directions to “HOPE PHARMACY, INC. ” Practice Location

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