Provider Demographics
NPI:1861908923
Name:HOFFMAN, TYLER DAVID (PHARMD)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:DAVID
Last Name:HOFFMAN
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 1:1146 CLARENCE RD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:PA
Mailing Address - Zip Code:16829-8001
Mailing Address - Country:US
Mailing Address - Phone:814-404-0883
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-864-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist