Healthcare Provider Details

I. General information

NPI: 1720395189
Provider Name (Legal Business Name): MARGARET HOFFMANN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 KELLY LN
HALFMOON NY
12065-3405
US

IV. Provider business mailing address

19 KELLY LN
HALFMOON NY
12065-3405
US

V. Phone/Fax

Practice location:
  • Phone: 518-652-2109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045526
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: