Provider Demographics
NPI:1770194946
Name:FORD, LLOYD KEITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:KEITH
Last Name:FORD
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 1:1600 DOWNTOWN WEST BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5497
Mailing Address - Country:US
Mailing Address - Phone:865-406-6597
Mailing Address - Fax:
Practice Address - Street 1:1600 DOWNTOWN WEST BLVD STE J
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5497
Practice Address - Country:US
Practice Address - Phone:865-406-6597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist