Provider Demographics
NPI:1649968694
Name:GRIFFITH, LLOYD GEORGE JR (RPH)
Entity type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:GEORGE
Last Name:GRIFFITH
Suffix:JR
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 1:5233 BEAR CORN RUN
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-7533
Mailing Address - Country:US
Mailing Address - Phone:386-451-8462
Mailing Address - Fax:
Practice Address - Street 1:5233 BEAR CORN RUN
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-7533
Practice Address - Country:US
Practice Address - Phone:386-451-8462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS16805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist