Provider Demographics
NPI:1003360173
Name:HERMAN, ADRIENNE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9548 HICKORY FALLS WAY
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4780
Mailing Address - Country:US
Mailing Address - Phone:410-404-4981
Mailing Address - Fax:
Practice Address - Street 1:1801 WHETSTONE WAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5199
Practice Address - Country:US
Practice Address - Phone:410-528-1244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist