Provider Demographics
NPI:1740992353
Name:MAXWELL, HUNNTER (PHARMD)
Entity type:Individual
Prefix:
First Name:HUNNTER
Middle Name:
Last Name:MAXWELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 DOCK LN APT 518
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-6262
Mailing Address - Country:US
Mailing Address - Phone:570-855-0704
Mailing Address - Fax:
Practice Address - Street 1:US CAPTIOL
Practice Address - Street 2:H-155
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:202-225-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457396183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP457396OtherPENNSYLVANIA PHARMACY LICENSE