Organization
HOPE-WELL PHARMACY HAGERSTOWN LLC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG VU BS (OWNER)
(301) 676-5876
Entity
Organization
Contact information
Practice address
11236 ROBINWOOD DR STE 104, HAGERSTOWN, MD 21742-6800
(301) 791-5220
(301) 791-5189
Mailing address
EXPRESS PHARMACY #2, 117 IVY HILL DR, MIDDLETOWN, MD 21769
(301) 676-5876
(301) 790-1333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05981
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140749
PK
—
05
—
500076900
—
MD
Enumeration date
04/18/2013
Last updated
02/28/2017
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