| NPI | 1356608178 |
|---|---|
| Doing Business As | HANOVER PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATIENCE J FOFUNG CEO 240-355-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05669) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |