Provider Demographics
NPI:1497507065
Name:WSN INC
Entity Type:Organization
Organization Name:WSN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOFUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-345-1124
Mailing Address - Street 1:7229 HANOVER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2026
Mailing Address - Country:US
Mailing Address - Phone:301-345-1124
Mailing Address - Fax:
Practice Address - Street 1:7229 HANOVER PKWY STE A
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2026
Practice Address - Country:US
Practice Address - Phone:301-345-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy