Provider Demographics
NPI:1710255740
Name:HOFFMAN, KAREN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 S MCKENZIE ST
Mailing Address - Street 2:WINN DIXIE PHARMACY #0570
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-1818
Mailing Address - Country:US
Mailing Address - Phone:251-943-4722
Mailing Address - Fax:251-943-8722
Practice Address - Street 1:1235 S MCKENZIE ST
Practice Address - Street 2:WINN DIXIE PHARMACY #0570
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1818
Practice Address - Country:US
Practice Address - Phone:251-943-4722
Practice Address - Fax:251-943-8722
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist