Provider Demographics
NPI:1003027897
Name:HOOVERRX
Entity Type:Organization
Organization Name:HOOVERRX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNIF
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAWRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-414-4044
Mailing Address - Street 1:1363 SALINA ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120
Mailing Address - Country:US
Mailing Address - Phone:313-443-5598
Mailing Address - Fax:
Practice Address - Street 1:1363 SALINA ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120
Practice Address - Country:US
Practice Address - Phone:313-443-5598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53150203581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty