Healthcare Provider Details

I. General information

NPI: 1053312207
Provider Name (Legal Business Name): DAWSON EUGENE HOFFMAN III RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BLACK ROCK RD
ROYERSFORD PA
19468-3109
US

IV. Provider business mailing address

1322 HOLLOW ROAD
BIRCHRUNVILLE PA
19421
US

V. Phone/Fax

Practice location:
  • Phone: 610-792-2308
  • Fax: 610-792-4328
Mailing address:
  • Phone: 610-827-7213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP030077L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: