Healthcare Provider Details
I. General information
NPI: 1730515081
Provider Name (Legal Business Name): KAREN MARIE HOFFMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/18/2013
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
911 E 20TH ST STE 200
SIOUX FALLS SD
57105-1044
US
IV. Provider business mailing address
911 E 20TH ST STE 200
SIOUX FALLS SD
57105-1044
US
V. Phone/Fax
- Phone: 650-322-3455
- Fax: 605-322-3456
- Phone: 650-322-3455
- Fax: 605-322-3456
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 5090 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: