Healthcare Provider Details

I. General information

NPI: 1336653922
Provider Name (Legal Business Name): FRANKLIN HOVOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3061 TECHNOLOGY PL
WALDORF MD
20601-4988
US

IV. Provider business mailing address

19740 WOOTTON AVE
POOLESVILLE MD
20837-2053
US

V. Phone/Fax

Practice location:
  • Phone: 301-349-0809
  • Fax:
Mailing address:
  • Phone: 301-349-0809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number22909
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: