Healthcare Provider Details

I. General information

NPI: 1326643859
Provider Name (Legal Business Name): ASHLEY MARIE HOFFMAN PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 12/02/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 E PHILADELPHIA AVE
BOYERTOWN PA
19512
US

IV. Provider business mailing address

811 E PHILADELPHIA AVE
BOYERTOWN PA
19512
US

V. Phone/Fax

Practice location:
  • Phone: 610-369-9375
  • Fax: 610-369-9379
Mailing address:
  • Phone: 610-369-9375
  • Fax: 610-369-9379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP455080
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: