Erica Lea Hoffner
Individual provider Active NPI Pharmacist · Grand Forks, ND
NPI 1396185286 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1396185286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5232 (ND)
- Practice address
- 2475 32ND Ave S Ste 1
Grand Forks, ND 58201-3606 - Phone
- (701) 775-4209
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119646 | MN | MD | Pharmacist |
| 5232 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Co of Jamestown Inc | Past | Accepting new patients | |
| White Drug Co of Jamestown Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119646 | MN | |
| Pharmacist | 183500000X | 5232 | ND | Yes |
Addresses
Primary practice location
2475 32ND Ave S Ste 1
Grand Forks, ND 58201-3606
Mailing address
2475 32ND Ave S Ste 1
Grand Forks, ND 58201-3606
Phone (701) 775-4209
Other providers in Grand Forks, ND
- Parker Jem Hoey
- Bonita Hoff
- Jennifer Ann Hoffarth
- Carlie Jo Hoffman
- Lindsay Hoffmann
- Bernard Jerome Hoggarth
- Lucas Holkup
- Nicholas Holkup
- Mary Pat Holler-Bibel
- Jennavive Marie Holm
All providers in Grand Forks, ND · Pharmacist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.