Healthcare Provider Details

I. General information

NPI: 1225676885
Provider Name (Legal Business Name): KAREN HOHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 PLAZA AVE
MEMPHIS TN
38111-4614
US

IV. Provider business mailing address

3444 PLAZA AVE
MEMPHIS TN
38111-4614
US

V. Phone/Fax

Practice location:
  • Phone: 901-324-1013
  • Fax:
Mailing address:
  • Phone: 901-324-1013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36631
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: