Provider Demographics
NPI:1184253635
Name:HOEFLER, ROBERT A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:HOEFLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:A
Other - Last Name:HOEFLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:711 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:WI
Mailing Address - Zip Code:53534-1530
Mailing Address - Country:US
Mailing Address - Phone:608-884-6644
Mailing Address - Fax:855-523-0916
Practice Address - Street 1:711 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:WI
Practice Address - Zip Code:53534-1530
Practice Address - Country:US
Practice Address - Phone:608-884-6644
Practice Address - Fax:855-523-0916
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI179581835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty