Healthcare Provider Details

I. General information

NPI: 1720151202
Provider Name (Legal Business Name): MAUREEN COLETTE LLOY PHARMD, APH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 ARDEN WAY STE 105
SACRAMENTO CA
95825-2015
US

IV. Provider business mailing address

2912 MERRYWOOD DR
SACRAMENTO CA
95825-0339
US

V. Phone/Fax

Practice location:
  • Phone: 916-486-5220
  • Fax: 866-220-2241
Mailing address:
  • Phone: 916-616-7615
  • Fax: 866-220-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number50081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: