=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427069087
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LLOYDS PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2006
-----------------------------------------------------
Last Update Date | 12/17/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 118 W KING ST STE A
-----------------------------------------------------
City | HILLSBOROUGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27278-2681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-732-1500
-----------------------------------------------------
Fax | 919-732-1500
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 169 W TRYON ST
-----------------------------------------------------
City | HILLSBOROUGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27278-2551
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY MANAGER
-----------------------------------------------------
Name | EVELYN LLOYD
-----------------------------------------------------
Credential | BS PHARMACY
-----------------------------------------------------
Telephone | 919-732-1500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 04776
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------