Individual
MR. TROY RANDY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341
(435) 716-5148
(435) 753-7636
Mailing address
696 S 220 E, SMITHFIELD, UT 84335
(435) 563-3775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
316374-1701
UT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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