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Individual
PEYTON TAYLOR JR.
Active
Individual
PEYTON TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202005750
BOARD OF PHARMACY LICENSE
VA
Enumeration date
03/09/2021
Last updated
03/09/2021
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