Hofstetter, Mark Alan
Hofstetter, Mark Alan is an individual health care provider with primary practice located at 520 S Eagle Rd Suite 100 O/P Pharmacy, Meridian ID 83642-6351. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hofstetter, Mark Alan can be contacted via phone (208) 706-5264.Contact Information
Primary practice address
520 S Eagle Rd Suite 100 O/P Pharmacy
Meridian ID 83642-6351
Phone: (208) 706-5264
Fax: (208) 706-5253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5307 | Idaho |
| Pharmacy Service Providers / Pharmacist | 183500000X | 2691 | Wyoming |
Profile Details
| NPI number | 1558363283 |
|---|---|
| LBN Legal business name | Hofstetter, Mark Alan |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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