=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902726268
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HENRIETTA ANNOR PHARMD,RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2026
-----------------------------------------------------
Last Update Date | 07/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3420 WORTHINGTON BLVD STE B
-----------------------------------------------------
City | FREDERICK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21704-7020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-831-5155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 804 CATLETT CT
-----------------------------------------------------
City | BRUNSWICK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21716-9817
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-892-2413
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 30983
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------