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NPI Code Detail

MEDICARE: MONTE HOFFMAN

MEDICARE: MONTE HOFFMAN
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
1183500000XPharmacistRP0003595WV

General Provider Information

NPI Number : 1346508066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTE HOFFMAN
Provider Business Mailing Address
First Line : 228 SUZANNE ST
Second Line :
City : WASHINGTON
State : WV
Zip : 26181-3541
Country : US
Telephone Number : 304-483-2987
Fax Number :
Provider Business Practice Location Address
First Line : 4016 OHIO RIVER RD
Second Line :
City : PT PLEASANT
State : WV
Zip : 25550-3257
Country : US
Telephone Number : 304-675-1612
Fax Number : 304-675-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 05/01/2012

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Directions to “ MONTE HOFFMAN ” Practice Location

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