Provider Demographics
NPI:1598082752
Name:HOFFMAN, AMY ALLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ALLEN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 E MILAM ST
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2445
Mailing Address - Country:US
Mailing Address - Phone:254-562-5123
Mailing Address - Fax:254-562-9519
Practice Address - Street 1:701 E MILAM ST
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2445
Practice Address - Country:US
Practice Address - Phone:254-562-5123
Practice Address - Fax:254-562-9519
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist