Individual
BRANDON SCOTT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 GRANDVIEW PLAZA SHOPPING CTR, FLORISSANT, MO 63033-6105
(314) 838-1366
Mailing address
11 DUNLAP COVE DR, EDWARDSVILLE, IL 62025-2488
(309) 256-9265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017030957
MO
Other
Enumeration date
07/19/2018
Last updated
12/31/2019
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