Provider Demographics
NPI:1760368831
Name:LOYD-BLACKARD, MADISON ABIGAIL (PHARMD)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:ABIGAIL
Last Name:LOYD-BLACKARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:ABIGAIL
Other - Last Name:LOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8360 HIGHWAY 352
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-7028
Mailing Address - Country:US
Mailing Address - Phone:479-206-9940
Mailing Address - Fax:
Practice Address - Street 1:1501 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855
Practice Address - Country:US
Practice Address - Phone:479-963-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD17458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist