MEDICARE: MR. CHRISTOPHER RAYMOND HOFFMAN 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	RP043401L	PA

General Provider Information

NPI Number	:	1780930891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER RAYMOND HOFFMAN RPH

Provider Business Mailing Address
First Line	:	8441 W CHESTER PIKE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1104
Country	:	US
Telephone Number	:	610-853-2393
Fax Number	:	610-853-2396

Provider Business Practice Location Address
First Line	:	8441 W CHESTER PIKE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1104
Country	:	US
Telephone Number	:	610-853-2393
Fax Number	:	610-853-2396

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

Provider Enumeration Date	:	07/26/2012
Last Update Date	:	07/26/2012

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