Individual
STEPHANIE ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 S PRAIRIE AVE, PUEBLO, CO 81005-3167
(719) 696-6159
(719) 696-6170
Mailing address
PO BOX 19455, COLORADO CITY, CO 81019-0455
(719) 565-9236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019999
STATE LICENSE NUMBER
CO
Enumeration date
04/04/2019
Last updated
11/27/2023
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