Provider Demographics
NPI:1033303110
Name:LLOYD, BRIDGET MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:MARIE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BRIDGET
Other - Middle Name:MARIE
Other - Last Name:FACTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2575 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-3333
Mailing Address - Country:US
Mailing Address - Phone:614-278-9666
Mailing Address - Fax:614-278-2385
Practice Address - Street 1:2575 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-3333
Practice Address - Country:US
Practice Address - Phone:614-278-9666
Practice Address - Fax:614-278-2385
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist