Organization
HANSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWAME HANSON (PRESIDENT)
(301) 233-4542
Entity
Organization
Contact information
Practice address
2110 CRAIN HWY, WALDORF, MD 20601-3146
(301) 885-0430
Mailing address
501 HARRY S TRUMAN DR, UPPER MARLBORO, MD 20774-2060
(301) 233-4542
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P05807
MD
3336C0003X
Community/Retail Pharmacy
P05807
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
11/20/2012
Last updated
11/20/2012
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