Provider Demographics
NPI:1780972653
Name:FLOYD, KAREN K
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:FLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 EASTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3641
Mailing Address - Country:US
Mailing Address - Phone:910-256-3761
Mailing Address - Fax:910-256-9345
Practice Address - Street 1:1712 EASTWOOD RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3641
Practice Address - Country:US
Practice Address - Phone:910-256-3761
Practice Address - Fax:910-256-9345
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist