Healthcare Provider Details

I. General information

NPI: 1215513189
Provider Name (Legal Business Name): ASHLEY HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 UTICA ST
HAMILTON NY
13346-1100
US

IV. Provider business mailing address

103 UTICA ST
HAMILTON NY
13346-1100
US

V. Phone/Fax

Practice location:
  • Phone: 315-824-2200
  • Fax: 315-824-5104
Mailing address:
  • Phone: 315-824-2200
  • Fax: 315-824-5104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number067705
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: