Provider Demographics
NPI:1568804573
Name:HOEFS, ALEXIA M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ALEXIA
Middle Name:M
Last Name:HOEFS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15151 GREENHAVEN DR
Mailing Address - Street 2:#312
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-7104
Mailing Address - Country:US
Mailing Address - Phone:218-205-8416
Mailing Address - Fax:
Practice Address - Street 1:301 PARK DR
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-5639
Practice Address - Country:US
Practice Address - Phone:507-451-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120947183500000X
NDRPH5512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist