Provider Demographics
NPI:1205509767
Name:LLOYD, BARI LEE (RPH)
Entity type:Individual
Prefix:
First Name:BARI
Middle Name:LEE
Last Name:LLOYD
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 1:14538 HAWTHORN DR
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7710
Mailing Address - Country:US
Mailing Address - Phone:515-229-5839
Mailing Address - Fax:
Practice Address - Street 1:215 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-4403
Practice Address - Country:US
Practice Address - Phone:515-282-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist