Organization
WSN INC
Active
Other names
Hanover Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATIENCE J FOFUNG (CEO)
(240) 355-5404
Entity
Organization
Contact information
Practice address
7217 HANOVER PARKWAY,SUITE A, GREENBELT, MD 20770-2607
(301) 345-1124
(301) 345-1339
Mailing address
10300 FOXLAKE DR, BOWIE, MD 20721-2607
(240) 355-5404
(301) 345-1339
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05669
MD
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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