Organization
CERTIFIED HEALTHCARE PROVIDERS
Active
Other names
Certified Healthcare Providers
Organization subpart
No
Provider details
NPI number
Authorized official
YIN C CHAN (DIRECTOR OF OPERATIONS/OWNER)
(443) 300-8633
Entity
Organization
Contact information
Practice address
20140 SCHOLAR DR RM 120, HAGERSTOWN, MD 21742-6501
(443) 676-2100
Mailing address
1201 67TH ST STE C, ROSEDALE, MD 21237-2513
(443) 676-2100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/07/2021
Last updated
12/14/2024
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