Provider Demographics
NPI:1215960588
Name:CLOUD, CEDRIC JOSEPH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CEDRIC
Middle Name:JOSEPH
Last Name:CLOUD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1475 SAWDUST RD
Mailing Address - Street 2:2305
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2145
Mailing Address - Country:US
Mailing Address - Phone:832-474-3941
Mailing Address - Fax:281-298-7066
Practice Address - Street 1:1475 SAWDUST RD
Practice Address - Street 2:2305
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2967
Practice Address - Country:US
Practice Address - Phone:832-474-3941
Practice Address - Fax:281-298-7066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist