Provider Demographics
NPI:1144552472
Name:HOFFMANN, DONALD JOHN (RPH)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JOHN
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32687 COUNTY ROAD 28
Mailing Address - Street 2:
Mailing Address - City:FARWELL
Mailing Address - State:MN
Mailing Address - Zip Code:56327-2064
Mailing Address - Country:US
Mailing Address - Phone:320-283-5764
Mailing Address - Fax:
Practice Address - Street 1:1605 1ST ST S
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4234
Practice Address - Country:US
Practice Address - Phone:320-235-9700
Practice Address - Fax:320-235-6818
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN111882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist