Provider Demographics
NPI:1851677942
Name:LOYD, ELIZABETH ANNE RUSSELL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH ANNE
Middle Name:RUSSELL
Last Name:LOYD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0800
Mailing Address - Country:US
Mailing Address - Phone:615-895-6325
Mailing Address - Fax:
Practice Address - Street 1:106 W NORTHFIELD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1561
Practice Address - Country:US
Practice Address - Phone:615-890-1583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN007104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist