NPI 1104160712

Hanson Pharmacy

Organisation Pharmacy Waldorf, MD

Practice location

Address: 2110 Crain Hwy, Waldorf, MD 20601-3146
Phone: (301) 885-0430
Mailing address: 501 Harry S Truman Dr, Upper Marlboro, MD 20774-2060

Authorised official

Name: Kwame Hanson
Title: President
Phone: (301) 233-4542

Registered specialties (2)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence P05807 (MD)

Other Pharmacy providers in Maryland →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X Licence P05807 (MD)

Registry record

NPI: 1104160712
Entity type: Organization
NPI issued: 20 Nov 2012
Record last updated: 20 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.