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NPI Code Detail

MEDICARE: DR. SEAN RICHARD HOOS PHARMD

MEDICARE: DR. SEAN RICHARD HOOS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy PharmacistIND-904481IN
2183500000XPharmacist26023251AIN

General Provider Information

NPI Number : 1679061709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN RICHARD HOOS PHARMD
Provider Business Mailing Address
First Line : 2200 RANDALLIA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4699
Country : US
Telephone Number : 260-373-3400
Fax Number : 260-373-3418
Provider Business Practice Location Address
First Line : 2200 RANDALLIA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4699
Country : US
Telephone Number : 260-373-3400
Fax Number : 260-373-3418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2018
Last Update Date : 04/24/2018

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Directions to “ DR. SEAN RICHARD HOOS PHARMD” Practice Location

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