Organization
HANA PHARMACY ELLICOTT CITY
Active
Other names
HANA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEEDO KONG (PRESIDENT)
(410) 461-1333
Entity
Organization
Contact information
Practice address
3301 N RIDGE RD, ELLICOTT CITY, MD 21043-7500
(410) 461-1333
(410) 461-1339
Mailing address
3301 N RIDGE RD, ELLICOTT CITY, MD 21043-7500
(410) 461-1333
(410) 461-1339
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06909
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096779300
—
MD
Enumeration date
07/18/2015
Last updated
09/21/2015
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