Provider Demographics
NPI:1659640399
Name:HOVARTER, DIANA KAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:KAY
Last Name:HOVARTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 W COMMERCE
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-2528
Mailing Address - Country:US
Mailing Address - Phone:870-777-4830
Mailing Address - Fax:
Practice Address - Street 1:1004 W COMMERCE
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-2528
Practice Address - Country:US
Practice Address - Phone:870-777-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR09939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist