Provider Demographics
NPI:1831079516
Name:HOFFMAN DRUG INC
Entity type:Organization
Organization Name:HOFFMAN DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAYDEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-337-3662
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:
Mailing Address - City:PLATTE
Mailing Address - State:SD
Mailing Address - Zip Code:57369-0110
Mailing Address - Country:US
Mailing Address - Phone:605-337-3662
Mailing Address - Fax:605-337-2673
Practice Address - Street 1:408 MAIN #110
Practice Address - Street 2:
Practice Address - City:PLATTE
Practice Address - State:SD
Practice Address - Zip Code:57369
Practice Address - Country:US
Practice Address - Phone:605-337-3662
Practice Address - Fax:605-337-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy