Healthcare Provider Details
I. General information
NPI: 1942725494
Provider Name (Legal Business Name): HOHANS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2017
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
393 S HARLAN ST STE 100
LAKEWOOD CO
80226-3569
US
IV. Provider business mailing address
393 S HARLAN ST STE 100
LAKEWOOD CO
80226-3569
US
V. Phone/Fax
- Phone: 303-339-0868
- Fax:
- Phone: 303-339-0868
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KANG
HO
Title or Position: PHARMACIST
Credential:
Phone: 303-339-0868