Healthcare Provider Details

I. General information

NPI: 1730571225
Provider Name (Legal Business Name): ZACHARY HOFFROGGE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2015
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10477 HARRISON AVE
HARRISON OH
45030-2247
US

IV. Provider business mailing address

10477 HARRISON AVE
HARRISON OH
45030-2247
US

V. Phone/Fax

Practice location:
  • Phone: 513-367-2382
  • Fax: 513-367-2373
Mailing address:
  • Phone: 513-367-2382
  • Fax: 513-367-2373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26024771A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03131802
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: