Individual
LARRY D HOFFMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 N MAIN ST, EUFAULA, OK 74432-1634
(918) 689-9940
(918) 689-7557
Mailing address
605 N MAIN ST, EUFAULA, OK 74432-1634
(918) 689-9940
(918) 689-7557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7106
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3724348
NCPDP
OK
01
—
48-5037
PHARMACY LICENSE
OK
Enumeration date
05/10/2006
Last updated
03/07/2023
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