Healthcare Provider Details

I. General information

NPI: 1407455058
Provider Name (Legal Business Name): MARY PATRICIA HOFFMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 10/23/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 MOUNT HERMON RD
SALISBURY MD
21804-5112
US

IV. Provider business mailing address

14302 LAUREL AVE
OCEAN CITY MD
21842-4326
US

V. Phone/Fax

Practice location:
  • Phone: 410-726-6776
  • Fax:
Mailing address:
  • Phone: 410-726-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14567
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: