Healthcare Provider Details

I. General information

NPI: 1053542001
Provider Name (Legal Business Name): KIMBERLY M HOFFMANN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E FRANKLIN ST
CHAPEL HILL NC
27514-5858
US

IV. Provider business mailing address

109 MADDRY CT
CHAPEL HILL NC
27516-1171
US

V. Phone/Fax

Practice location:
  • Phone: 919-929-1178
  • Fax:
Mailing address:
  • Phone: 919-929-8416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10529
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: