Healthcare Provider Details

I. General information

NPI: 1518879816
Provider Name (Legal Business Name): HOOVER PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 HOLBROOK STREET
HAMTRAMCK MI
48212
US

IV. Provider business mailing address

2930 HOLBROOK STREET
HAMTRAMCK MI
48212
US

V. Phone/Fax

Practice location:
  • Phone: 313-870-9703
  • Fax: 313-870-9702
Mailing address:
  • Phone: 313-870-9703
  • Fax: 313-870-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NOAMAN NAGI
Title or Position: PRESIDENT
Credential:
Phone: 313-971-8681