Healthcare Provider Details

I. General information

NPI: 1093894479
Provider Name (Legal Business Name): JAMES C HOFFMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 MADISON AVE
ANDERSON IN
46016-1043
US

IV. Provider business mailing address

505 MADISON AVE
ANDERSON IN
46016
US

V. Phone/Fax

Practice location:
  • Phone: 765-643-3716
  • Fax: 765-643-0265
Mailing address:
  • Phone: 765-643-3716
  • Fax: 765-643-0265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26014048A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: