Healthcare Provider Details

I. General information

NPI: 1821914284
Provider Name (Legal Business Name): ALLISON HOFACKER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 S COMMERCIAL ST
NEENAH WI
54956-4637
US

IV. Provider business mailing address

1415 S COMMERCIAL ST
NEENAH WI
54956-4637
US

V. Phone/Fax

Practice location:
  • Phone: 920-729-4910
  • Fax: 920-729-4879
Mailing address:
  • Phone: 920-729-4910
  • Fax: 920-729-4879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2345340
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: