Healthcare Provider Details

I. General information

NPI: 1346383445
Provider Name (Legal Business Name): RICHARD L HOFFMAN R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST ROOM EA 105
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

5009 PULLMAN AVE NE
SEATTLE WA
98105-2137
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-6058
  • Fax: 206-598-3808
Mailing address:
  • Phone: 206-523-5240
  • Fax: 206-523-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28140
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00010930
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: