Healthcare Provider Details

I. General information

NPI: 1265805543
Provider Name (Legal Business Name): HOPE-WELL PHARMACY WILLIAMSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 E POTOMAC ST
WILLIAMSPORT MD
21795-1203
US

IV. Provider business mailing address

307 E POTOMAC ST
WILLIAMSPORT MD
21795-1203
US

V. Phone/Fax

Practice location:
  • Phone: 301-223-8185
  • Fax: 301-223-8186
Mailing address:
  • Phone: 301-223-8185
  • Fax: 301-223-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP06968
License Number StateMD

VIII. Authorized Official

Name: DANIEL KARIYEV
Title or Position: MEMBER/OWNER
Credential:
Phone: 301-223-8185