Individual
CLINTON JAMES HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8000 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-5364
(314) 426-1044
Mailing address
1079 REDDINGTON TIMBERS DR, SAINT CHARLES, MO 63304-5063
(314) 922-4055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005031047
MO
183500000X
Pharmacist
5385
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6039664
—
MO
Enumeration date
09/22/2011
Last updated
09/22/2011
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