Provider Demographics
NPI:1154632834
Name:DELANEY, LLOYD MARSHALL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:MARSHALL
Last Name:DELANEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 PARKDALE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-7245
Mailing Address - Country:US
Mailing Address - Phone:817-514-8063
Mailing Address - Fax:817-514-9570
Practice Address - Street 1:4520 WESTERN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76137-2635
Practice Address - Country:US
Practice Address - Phone:817-514-8063
Practice Address - Fax:817-514-9570
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist