Healthcare Provider Details

I. General information

NPI: 1306846720
Provider Name (Legal Business Name): HOFFMAN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 06/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MAIN ST
PARSONS KS
67357-2644
US

IV. Provider business mailing address

2701 MAIN ST
PARSONS KS
67357-2644
US

V. Phone/Fax

Practice location:
  • Phone: 620-421-0882
  • Fax:
Mailing address:
  • Phone: 620-421-0882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number207823
License Number StateKS

VIII. Authorized Official

Name: J. DENNIS HOFFMAN
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 620-421-0882