Provider Demographics
NPI:1346383445
Name:HOFFMAN, RICHARD L (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 PULLMAN AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2137
Mailing Address - Country:US
Mailing Address - Phone:206-523-5240
Mailing Address - Fax:206-523-5240
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:ROOM EA 105
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-6058
Practice Address - Fax:206-598-3808
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO28140183500000X
WAPH00010930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist