Provider Demographics
NPI:1801438643
Name:HOFFART, GAIL KRISTINA (PHARMD)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:KRISTINA
Last Name:HOFFART
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:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:SANBORN
Mailing Address - State:ND
Mailing Address - Zip Code:58480-0215
Mailing Address - Country:US
Mailing Address - Phone:701-630-0779
Mailing Address - Fax:
Practice Address - Street 1:12 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOWMAN
Practice Address - State:ND
Practice Address - Zip Code:58623-4022
Practice Address - Country:US
Practice Address - Phone:701-523-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH6163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist