Provider Demographics
NPI:1497091029
Name:HOFFMANN, PRECIOSA
Entity Type:Individual
Prefix:
First Name:PRECIOSA
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 PRINCE WILLIAM PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-7667
Mailing Address - Country:US
Mailing Address - Phone:804-801-6922
Mailing Address - Fax:
Practice Address - Street 1:4001 PRINCE WILLIAM PKWY STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-7667
Practice Address - Country:US
Practice Address - Phone:703-792-7300
Practice Address - Fax:703-792-7311
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008039183500000X
VA0202211777183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202211777OtherVIRGINIA BOARD OF PHARMACY
WVRP0008039OtherWEST VIRGINIA BOARD OF PHARMACY