Healthcare Provider Details

I. General information

NPI: 1235347964
Provider Name (Legal Business Name): DAVID SCOTT HOFF PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CHICAGO AVE
MINNEAPOLIS MN
55404-4518
US

IV. Provider business mailing address

2525 CHICAGO AVE
MINNEAPOLIS MN
55404-4518
US

V. Phone/Fax

Practice location:
  • Phone: 612-813-6703
  • Fax:
Mailing address:
  • Phone: 612-813-6703
  • Fax: 612-813-6300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number115145
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: