Provider Demographics
NPI:1811038441
Name:BOFF, JOHN A (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:BOFF
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 1:760 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2451
Mailing Address - Country:US
Mailing Address - Phone:828-255-8757
Mailing Address - Fax:828-255-8829
Practice Address - Street 1:760 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2451
Practice Address - Country:US
Practice Address - Phone:828-255-8757
Practice Address - Fax:828-255-8829
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist