Provider Demographics
NPI:1528270170
Name:HOEFT, DEBRA KAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:KAY
Last Name:HOEFT
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 1:9211 MEDINAH DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-9245
Mailing Address - Country:US
Mailing Address - Phone:402-423-2929
Mailing Address - Fax:
Practice Address - Street 1:1265 S COTNER BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4923
Practice Address - Country:US
Practice Address - Phone:402-434-7730
Practice Address - Fax:402-434-7738
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist