MEDICARE: MICHAEL FLOYD RPH

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
1	183500000X	Pharmacist	10954	CO

General Provider Information

NPI Number	:	1760828693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL FLOYD RPH

Provider Business Mailing Address
First Line	:	285 LITTLE PARK RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-4706
Country	:	US
Telephone Number	:	970-242-4091
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 LITTLE PARK RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-4706
Country	:	US
Telephone Number	:	970-242-4091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2013
Last Update Date	:	05/19/2013

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