Provider Demographics
NPI:1457451122
Name:HOFER, THOMAS AUGUST (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:AUGUST
Last Name:HOFER
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 1:3104 WOODRIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538
Mailing Address - Country:US
Mailing Address - Phone:717-898-0363
Mailing Address - Fax:
Practice Address - Street 1:945 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552
Practice Address - Country:US
Practice Address - Phone:717-653-6333
Practice Address - Fax:717-653-6168
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028059L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist