Provider Demographics
NPI:1528065869
Name:HOFFMANN, RICHARD P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 N TIMUCUAN TRL
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34453-1510
Mailing Address - Country:US
Mailing Address - Phone:352-637-4694
Mailing Address - Fax:
Practice Address - Street 1:1135 N TIMUCUAN TRL
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-1510
Practice Address - Country:US
Practice Address - Phone:352-637-4694
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 18360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist