Provider Demographics
NPI:1699068239
Name:LLOYD, GARETH HUW (MPHARM)
Entity type:Individual
Prefix:MR
First Name:GARETH
Middle Name:HUW
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4262 W FIGARDEN DR
Mailing Address - Street 2:APPT 127
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-6041
Mailing Address - Country:US
Mailing Address - Phone:559-930-1052
Mailing Address - Fax:
Practice Address - Street 1:2640 FLORAL AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-2602
Practice Address - Country:US
Practice Address - Phone:559-930-1052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist