Healthcare Provider Details

I. General information

NPI: 1750790804
Provider Name (Legal Business Name): LAUREN HOFFMAN PHARM D, BCPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2014
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27100 CHARDON RD
RICHMOND HEIGHTS OH
44143-1116
US

IV. Provider business mailing address

7910 MCFARLAND RDG
CHAGRIN FALLS OH
44023-4579
US

V. Phone/Fax

Practice location:
  • Phone: 440-585-6406
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP449004
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number03136321
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: