Provider Demographics
NPI:1326277716
Name:FLOYD, CARLY (PHARMD, PHC, AAHIVP)
Entity Type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:PHARMD, PHC, AAHIVP
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:CLOUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, PHC, AAHIVP
Mailing Address - Street 1:801 ENCINO PL NE STE A6
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:505-925-0995
Practice Address - Street 1:801 ENCINO PL NE STE A16
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2640
Practice Address - Country:US
Practice Address - Phone:505-272-1213
Practice Address - Fax:505-272-1352
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007285183500000X
TX47916183500000X
NMPC000001781835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist