Provider Demographics
NPI:1811227028
Name:HOFER, BRITT ALLISON
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:ALLISON
Last Name:HOFER
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 1:1305 S GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3303
Mailing Address - Country:US
Mailing Address - Phone:480-830-9266
Mailing Address - Fax:
Practice Address - Street 1:1305 S GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3303
Practice Address - Country:US
Practice Address - Phone:480-830-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS01499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist