Organization
HANA PHARMACY ELLICOTT CITY
Active
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
Update your record
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