Provider Demographics
NPI:1063758084
Name:HOVIS, MICHAEL R (PHARMD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:HOVIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8506
Mailing Address - Country:US
Mailing Address - Phone:219-240-7793
Mailing Address - Fax:
Practice Address - Street 1:4908A MOORES MILL RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-1512
Practice Address - Country:US
Practice Address - Phone:219-240-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051295540183500000X
IN26021170A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist