Healthcare Provider Details

I. General information

NPI: 1174127575
Provider Name (Legal Business Name): ERIN HOFFMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 S LAKE PARK AVE
HOBART IN
46342-6640
US

IV. Provider business mailing address

1615 S LAKE PARK AVE
HOBART IN
46342
US

V. Phone/Fax

Practice location:
  • Phone: 219-942-0616
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26027118A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: