MEDICARE: ZACHARY HOFFROGGE PHARMD

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	03131802	OH
2	183500000X	Pharmacist	26024771A	IN

General Provider Information

NPI Number	:	1730571225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY HOFFROGGE PHARMD

Provider Business Mailing Address
First Line	:	3609 WARSAW AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1721
Country	:	US
Telephone Number	:	513-598-7890
Fax Number	:	513-244-1814

Provider Business Practice Location Address
First Line	:	3609 WARSAW AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1721
Country	:	US
Telephone Number	:	513-598-7890
Fax Number	:	513-244-1814

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

Provider Enumeration Date	:	02/20/2015
Last Update Date	:	02/20/2015

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Directions to “ ZACHARY HOFFROGGE PHARMD” Practice Location

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