Healthcare Provider Details

I. General information

NPI: 1952894164
Provider Name (Legal Business Name): ERICKA HOFFINE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 06/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 10TH AVE # L012
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

2701 MARBLEVISTA BLVD
COLUMBUS OH
43204-9016
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-5920
  • Fax:
Mailing address:
  • Phone: 614-634-0594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03331192
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: