Provider Demographics
NPI:1417380130
Name:MARCUM, LLOYD MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:MICHAEL
Last Name:MARCUM
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 1:2627 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-1328
Mailing Address - Country:US
Mailing Address - Phone:304-529-6510
Mailing Address - Fax:304-522-7548
Practice Address - Street 1:2627 5TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1328
Practice Address - Country:US
Practice Address - Phone:304-529-6510
Practice Address - Fax:304-522-7548
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH.03132436-1183500000X
KY012518183500000X
WVRP00080481835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist