Healthcare Provider Details

I. General information

NPI: 1326277716
Provider Name (Legal Business Name): CARLY FLOYD PHARMD, PHC, AAHIVP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARLY CLOUD PHARMD, PHC, AAHIVP

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ENCINO PL NE STE A16
ALBUQUERQUE NM
87102-2640
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-1213
  • Fax: 505-272-1352
Mailing address:
  • Phone: 505-272-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00007285
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47916
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPC00000178
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: