Organization
HOPE-WELL PHARMACY FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG VU (PRESIDENT)
(301) 676-5876
Entity
Organization
Contact information
Practice address
301 W PATRICK ST, FREDERICK, MD 21701-4855
(240) 815-6229
(240) 815-6239
Mailing address
EXPRESS PHARMACY #6, 117 IVY HILL DR, MIDDLETOWN, MD 21769
(301) 676-5876
(240) 490-8280
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07504
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120245600
—
MD
01
—
2168620
PK
—
Enumeration date
03/31/2017
Last updated
04/19/2018
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