Provider Demographics
NPI:1164035390
Name:LAHOZ, ALODIMARY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALODIMARY
Middle Name:
Last Name:LAHOZ
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 1:23201 SW 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7175
Mailing Address - Country:US
Mailing Address - Phone:305-971-2613
Mailing Address - Fax:
Practice Address - Street 1:23201 SW 112TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7175
Practice Address - Country:US
Practice Address - Phone:305-971-2613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist