Provider Demographics
NPI:1487065959
Name:HORNUNG, MATTHEW (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:HORNUNG
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 STRATHMORE HALL ST
Mailing Address - Street 2:APT 117
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3399
Mailing Address - Country:US
Mailing Address - Phone:717-490-0459
Mailing Address - Fax:
Practice Address - Street 1:13307 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3435
Practice Address - Country:US
Practice Address - Phone:301-384-0487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-18
Last Update Date:2014-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist