Provider Demographics
NPI:1073808622
Name:LLOYD, GENEVIEVE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:M
Last Name:LLOYD
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 1:815 NE 28TH ST
Mailing Address - Street 2:APT. 201
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2566
Mailing Address - Country:US
Mailing Address - Phone:561-248-9692
Mailing Address - Fax:
Practice Address - Street 1:815 NE 28TH ST
Practice Address - Street 2:APT. 201
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33334-2566
Practice Address - Country:US
Practice Address - Phone:561-248-9692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65456183500000X
FLPS42457183500000X
FL300827146N00000X
133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education