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NPI Code Detail

MEDICARE: DAWSON EUGENE HOFFMAN III RPH

MEDICARE: DAWSON EUGENE HOFFMAN III RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP030077LPA

General Provider Information

NPI Number : 1053312207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWSON EUGENE HOFFMAN III RPH
Provider Business Mailing Address
First Line : 1322 HOLLOW ROAD
Second Line :
City : BIRCHRUNVILLE
State : PA
Zip : 19421
Country : US
Telephone Number : 610-827-7213
Fax Number :
Provider Business Practice Location Address
First Line : 1600 BLACK ROCK RD
Second Line :
City : ROYERSFORD
State : PA
Zip : 19468-3109
Country : US
Telephone Number : 610-792-2308
Fax Number : 610-792-4328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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Directions to “ DAWSON EUGENE HOFFMAN III RPH” Practice Location

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