Healthcare Provider Details

I. General information

NPI: 1154604718
Provider Name (Legal Business Name): SCOTT J HOFFMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9775 COLERAIN AVE
CINCINNATI OH
45251-1442
US

IV. Provider business mailing address

5744 BLACKWOLF RUN
CINCINNATI OH
45247-3600
US

V. Phone/Fax

Practice location:
  • Phone: 513-385-6900
  • Fax:
Mailing address:
  • Phone: 513-825-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03321886
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: