Organization
HOPE-WELL PHARMACY CLEVELAND LLC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG VU BS. RPH (PRESIDENT)
(301) 676-5876
Entity
Organization
Contact information
Practice address
201 S CLEVELAND AVE STE 101, HAGERSTOWN, MD 21740-5758
(240) 513-6991
(240) 513-6992
Mailing address
117 IVY HILL DR, MIDDLETOWN, MD 21769-8135
(301) 676-5876
(240) 513-6992
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07062
MD
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105126100
—
MD
01
—
2156206
PK
—
Enumeration date
12/30/2015
Last updated
02/28/2017
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