Provider Demographics
NPI:1619310133
Name:HOPE-WELL PHARMACY LLC
Entity Type:Organization
Organization Name:HOPE-WELL PHARMACY LLC
Other - Org Name:EXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRUNG
Authorized Official - Middle Name:C
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-676-5876
Mailing Address - Street 1:117 IVY HILL DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-8135
Mailing Address - Country:US
Mailing Address - Phone:301-676-5876
Mailing Address - Fax:301-790-1333
Practice Address - Street 1:16220 FREDERICK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4039
Practice Address - Country:US
Practice Address - Phone:301-676-5876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy