Healthcare Provider Details

I. General information

NPI: 1811227028
Provider Name (Legal Business Name): BRITT ALLISON HOFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 01/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 S GREENFIELD RD
MESA AZ
85206-3303
US

IV. Provider business mailing address

1305 S GREENFIELD RD
MESA AZ
85206-3303
US

V. Phone/Fax

Practice location:
  • Phone: 480-830-9266
  • Fax:
Mailing address:
  • Phone: 480-830-9266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS01499
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: