Provider Demographics
NPI:1962610196
Name:WRIGHT, LLOYD O SR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:O
Last Name:WRIGHT
Suffix:SR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11436 SW HILLCREST CIR
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-2706
Mailing Address - Country:US
Mailing Address - Phone:954-849-8776
Mailing Address - Fax:
Practice Address - Street 1:11436 SW HILLCREST CIR
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-2706
Practice Address - Country:US
Practice Address - Phone:954-849-8776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist