Provider Demographics
NPI:1902120017
Name:LLOYD, DANIEL A (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:LLOYD
Suffix:
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:PO BOX 156
Mailing Address - Street 2:357 WEST MAIN ST
Mailing Address - City:WEST WINFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:13491-0156
Mailing Address - Country:US
Mailing Address - Phone:315-822-5697
Mailing Address - Fax:
Practice Address - Street 1:12 S.MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:NY
Practice Address - Zip Code:13411-0836
Practice Address - Country:US
Practice Address - Phone:607-847-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025566-1183500000X
NY025566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist