Healthcare Provider Details

I. General information

NPI: 1972465896
Provider Name (Legal Business Name): GLADYS HOPE LORENZO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 ALA MOANA BLVD STE 2004
HONOLULU HI
96814-4671
US

IV. Provider business mailing address

94-1208 KEAHUA LOOP
WAIPAHU HI
96797-5420
US

V. Phone/Fax

Practice location:
  • Phone: 808-949-4010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5138
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: