Provider Demographics
NPI:1033307012
Name:HOFFMAN-ROBERTS, HOLLY LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:LYNN
Last Name:HOFFMAN-ROBERTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:VA MEDICAL CENTER BLD 7, R# 119A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-372-5300
Mailing Address - Fax:214-375-9366
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:VA MEDICAL CENTER BLD 7, R# 119A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-372-5300
Practice Address - Fax:214-375-9366
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45737183500000X
NE11311183500000X
OK12948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist