Organization
HANSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWAME HANSON (PRESIDENT/MANAGER)
(240) 765-4436
Entity
Organization
Contact information
Practice address
2110 CRAIN HWY, WALDORF, MD 20601-3146
(301) 233-4542
Mailing address
9004 MACHESTER RD APT, SILVER SPRING, MD 20901
(240) 765-4436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0003X
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
09/02/2012
Last updated
05/11/2018
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