Individual
JOHN RICHARD HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2430 E MASON ST, GREEN BAY, WI 54302-3759
(920) 468-6044
Mailing address
2849 SAINT ANN DR, GREEN BAY, WI 54311-5827
(920) 465-8792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8698
WI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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