Healthcare Provider Details

I. General information

NPI: 1780930891
Provider Name (Legal Business Name): CHRISTOPHER RAYMOND HOFFMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2012
Last Update Date: 07/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8441 W CHESTER PIKE
UPPER DARBY PA
19082-1104
US

IV. Provider business mailing address

8441 W CHESTER PIKE
UPPER DARBY PA
19082-1104
US

V. Phone/Fax

Practice location:
  • Phone: 610-853-2393
  • Fax: 610-853-2396
Mailing address:
  • Phone: 610-853-2393
  • Fax: 610-853-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP043401L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: