Provider Demographics
NPI:1932688272
Name:HOFFMAN, TORI RACHEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:RACHEL
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 N MAIN ST STE 200C
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-1673
Mailing Address - Country:US
Mailing Address - Phone:315-458-0500
Mailing Address - Fax:
Practice Address - Street 1:792 N MAIN ST STE 200C
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-1673
Practice Address - Country:US
Practice Address - Phone:315-458-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist