Provider Demographics
NPI:1922370741
Name:LLOYD, WALTER GERARD (PHARMD, BCPS, BCGP)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:GERARD
Last Name:LLOYD
Suffix:
Gender:M
Credentials:PHARMD, BCPS, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5702 CROWDER BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2409
Mailing Address - Country:US
Mailing Address - Phone:205-242-6006
Mailing Address - Fax:646-616-0429
Practice Address - Street 1:5702 CROWDER BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2409
Practice Address - Country:US
Practice Address - Phone:504-241-1456
Practice Address - Fax:504-248-9894
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14599183500000X
TX42307183500000X
PA444496183500000X
AZS020997183500000X
NMRP00008317183500000X
AZ31538991835P1200X
LA17098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA17098OtherLOUISIANA STATE BOARD OF PHARMACY