Provider Demographics
NPI:1609902055
Name:FLOYD PHARMACEUTICALS SVCS INC
Entity type:Organization
Organization Name:FLOYD PHARMACEUTICALS SVCS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RPH OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-693-3324
Mailing Address - Street 1:202 HOLMAN DR
Mailing Address - Street 2:POB 245
Mailing Address - City:HEADLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36345
Mailing Address - Country:US
Mailing Address - Phone:334-693-3324
Mailing Address - Fax:
Practice Address - Street 1:202 HOLMAN DR
Practice Address - Street 2:POB 245
Practice Address - City:HEADLAND
Practice Address - State:AL
Practice Address - Zip Code:36345-2307
Practice Address - Country:US
Practice Address - Phone:334-696-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10542332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100002571Medicaid
AL100002571Medicaid