MEDICARE: THOMAS H HOFER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12894	IA

General Provider Information

NPI Number	:	1952375701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS H HOFER

Provider Business Mailing Address
First Line	:	5463 KURTZ STRASZE SW
Second Line	:
City	:	KALONA
State	:	IA
Zip	:	52247
Country	:	US
Telephone Number	:	319-656-4588
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 S MAIN ST
Second Line	:
City	:	NORTH ENGLISH
State	:	IA
Zip	:	52316
Country	:	US
Telephone Number	:	319-664-3115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	07/08/2007

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Directions to “ THOMAS H HOFER ” Practice Location

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