Provider Demographics
NPI:1922328731
Name:KRIMKO, LLOYD A (RPH)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:A
Last Name:KRIMKO
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 1:655 ROUTE 88
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4056
Mailing Address - Country:US
Mailing Address - Phone:732-899-8032
Mailing Address - Fax:732-899-8065
Practice Address - Street 1:655 OCEAN ROAD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:NJ
Practice Address - Zip Code:08742-4056
Practice Address - Country:US
Practice Address - Phone:732-899-8032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01188100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist