Individual
MATTHEW TYREL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2021 N PINAL AVE, CASA GRANDE, AZ 85122-1417
(520) 876-0265
(520) 876-0532
Mailing address
2021 N PINAL AVE, CASA GRANDE, AZ 85122-1417
(520) 876-0265
(520) 876-0532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020747
AZ
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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