Individual
ANGELA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52482 ST RD 933 N, SOUTH BEND, IN 46637
(574) 271-0357
Mailing address
17501 STONEY POINT RD, GRANGER, IN 46530-8832
(574) 271-0357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017593A
IN
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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