MEDICARE: MR. THOMAS ALAN HOFFMANN 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
1	183500000X	Pharmacist	38673	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RPH38673	OTHER	CA	PHARMACIST LICENSE NUMBER

General Provider Information

NPI Number	:	1598711582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS ALAN HOFFMANN RPH

Provider Business Mailing Address
First Line	:	15520 BLACK HAWK AVE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-7844
Country	:	US
Telephone Number	:	661-589-4114
Fax Number	:	661-589-7293

Provider Business Practice Location Address
First Line	:	15520 BLACK HAWK AVE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-7844
Country	:	US
Telephone Number	:	661-589-4114
Fax Number	:	661-589-7293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/08/2007

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