Provider Demographics
NPI:1487037081
Name:FLOOD, ALBERT (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:FLOOD
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 1:202 MCALLISTER AVE
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1621
Mailing Address - Country:US
Mailing Address - Phone:415-457-5623
Mailing Address - Fax:
Practice Address - Street 1:202 MCALLISTER AVE
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-1621
Practice Address - Country:US
Practice Address - Phone:415-457-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist