Provider Demographics
NPI:1396846283
Name:HOFFMAN, SHEILA K (R PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:K
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:R PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:FAULKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57438-0070
Mailing Address - Country:US
Mailing Address - Phone:605-598-4187
Mailing Address - Fax:
Practice Address - Street 1:118 8TH AVE S
Practice Address - Street 2:
Practice Address - City:FAULKTON
Practice Address - State:SD
Practice Address - Zip Code:57438-2115
Practice Address - Country:US
Practice Address - Phone:605-598-4187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist