# CHARLIE'S HOMETOWN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charlie's Hometown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770294860
- **Authorized official:** CHARLES WADE BRAINARD (OWNER/PHARMACY MANAGER)
- **Authorized official phone:** (864) 665-5001

## Contact information

- **Practice address:** 508 SE MAIN ST, SIMPSONVILLE, SC 29681-3216
- **Practice address phone:** (864) 665-5001
- **Practice address fax:** (864) 665-5002
- **Mailing address:** 508 SE MAIN ST, SIMPSONVILLE, SC 29681-3216
- **Mailing address phone:** (864) 665-5001
- **Mailing address fax:** (864) 665-5002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 07/25/2023