Provider Demographics
NPI:1073636981
Name:HOFFMAN, JODI LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JODI
Middle Name:LYNN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6868 ALLEGANY TRL
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-7975
Mailing Address - Country:US
Mailing Address - Phone:513-683-0513
Mailing Address - Fax:
Practice Address - Street 1:6175 HI-TEK CT.
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2603
Practice Address - Country:US
Practice Address - Phone:513-459-7455
Practice Address - Fax:513-459-8606
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-22994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist