Provider Demographics
NPI:1689794158
Name:SCALAPINO, LLOYD WAYNE (RPH)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:WAYNE
Last Name:SCALAPINO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 W NEW HOPE DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6061
Mailing Address - Country:US
Mailing Address - Phone:512-461-6982
Mailing Address - Fax:512-259-0533
Practice Address - Street 1:2311 W NEW HOPE DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6061
Practice Address - Country:US
Practice Address - Phone:512-461-6982
Practice Address - Fax:512-259-0533
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist