Provider Demographics
NPI:1124315015
Name:HOVIOUS, JOSEPH
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HOVIOUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2070 THUNDERING HERD DR
Mailing Address - Street 2:T-1478
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-2600
Mailing Address - Country:US
Mailing Address - Phone:304-736-7651
Mailing Address - Fax:304-736-7651
Practice Address - Street 1:2070 THUNDERING HERD DR
Practice Address - Street 2:T-1478
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-2600
Practice Address - Country:US
Practice Address - Phone:304-736-7651
Practice Address - Fax:304-736-7651
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0004891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist