Healthcare Provider Details

I. General information

NPI: 1902726268
Provider Name (Legal Business Name): HENRIETTA ANNOR PHARMD,RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 WORTHINGTON BLVD STE B
FREDERICK MD
21704-7020
US

IV. Provider business mailing address

804 CATLETT CT
BRUNSWICK MD
21716-9817
US

V. Phone/Fax

Practice location:
  • Phone: 240-831-5155
  • Fax:
Mailing address:
  • Phone: 301-892-2413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30983
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: