Provider Demographics
NPI:1770246001
Name:LLOYD, CLARENCE LEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CLARENCE
Middle Name:LEE
Last Name:LLOYD
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 1:4433 DOGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-3039
Mailing Address - Country:US
Mailing Address - Phone:562-665-3007
Mailing Address - Fax:
Practice Address - Street 1:4433 DOGWOOD AVE
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-3039
Practice Address - Country:US
Practice Address - Phone:562-665-3007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH46890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist