Organization
HANSON PHARMACY INC
Active
Other names
WHITESELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STUART HANSON (PRESIDENT MANAGER PHARMACIST)
(410) 326-2004
Entity
Organization
Contact information
Practice address
11859 HG TRUEMAN RD, LUSBY, MD 20657-2855
(410) 326-2004
(410) 326-3393
Mailing address
11859 HG TRUEMAN RD, LUSBY, MD 20657-2855
(410) 326-2004
(410) 326-3393
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113037
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
543612500
—
MD
Enumeration date
09/21/2006
Last updated
10/27/2011
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