Individual
TRAVIS DWAYNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., RPH
Contact information
Practice address
933 BLACKBURN AVE, ASHLAND, KY 41101-4503
(606) 324-0372
Mailing address
933 BLACKBURN AVE, ASHLAND, KY 41101-4503
(606) 324-0372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018772
KY
183500000X
Pharmacist
03136002
OH
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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