Healthcare Provider Details

I. General information

NPI: 1376085480
Provider Name (Legal Business Name): SARAH ELIZABETH HOFFMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 11/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3B WINDY HL
BALLSTON LAKE NY
12019-9029
US

IV. Provider business mailing address

3B WINDY HL
BALLSTON LAKE NY
12019-9029
US

V. Phone/Fax

Practice location:
  • Phone: 518-256-7163
  • Fax:
Mailing address:
  • Phone: 518-256-7163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number062519
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: