Healthcare Provider Details
I. General information
NPI: 1790048783
Provider Name (Legal Business Name): TERRY J. HOFFMANN RPH, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/24/2012
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3400 LEBANON RD
MURFREESBORO TN
37129-1392
US
IV. Provider business mailing address
3400 LEBANON RD
MURFREESBORO TN
37129-1392
US
V. Phone/Fax
- Phone: 615-867-6000
- Fax:
- Phone: 615-867-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 5957 |
| License Number State | SD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 5957 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: