| NPI | 1497507065 |
|---|---|
| Doing Business As | HANOVER PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATIENCE FOFUNG Pharmacy Manager 301-345-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |