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NPI Code Detail

MEDICARE: DR. LLOYD MARSHALL DELANEY PHARMD

MEDICARE: DR. LLOYD MARSHALL DELANEY PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist43222TX

General Provider Information

NPI Number : 1154632834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LLOYD MARSHALL DELANEY PHARMD
Provider Business Mailing Address
First Line : 820 PARKDALE DR
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-7245
Country : US
Telephone Number : 817-514-8063
Fax Number : 817-514-9570
Provider Business Practice Location Address
First Line : 4520 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2635
Country : US
Telephone Number : 817-514-8063
Fax Number : 817-514-9570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2010
Last Update Date : 06/28/2010

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