Provider Demographics
NPI:1336661685
Name:K & S HOFFMAN INC
Entity Type:Organization
Organization Name:K & S HOFFMAN INC
Other - Org Name:MAPLE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEVAK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVAGIMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:818-546-1400
Mailing Address - Street 1:620 S GLENDALE AVE STE J
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4163
Mailing Address - Country:US
Mailing Address - Phone:818-546-1400
Mailing Address - Fax:818-546-1440
Practice Address - Street 1:620 S GLENDALE AVE STE J
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4163
Practice Address - Country:US
Practice Address - Phone:818-546-1400
Practice Address - Fax:818-546-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA55746OtherCALIFORNIA STATE BOARD OF PHARMACY