Organization
HOPE-WELL PHARMACY WILLIAMSPORT LLC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG VU BS. RPH (OFFICER)
(301) 676-5876
Entity
Organization
Contact information
Practice address
307 E POTOMAC ST, WILLIAMSPORT, MD 21795-1203
(301) 223-8185
(301) 223-8186
Mailing address
EXPRESS PHARMACY #4, 117 IVY HILL DR, MIDDLETOWN, MD 21679
(301) 676-5876
(301) 223-8186
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06968
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105127000
—
MD
01
—
2153808
PK
—
Enumeration date
11/09/2015
Last updated
02/28/2017
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