Individual
NIQUITA S TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7480
Mailing address
990 DOE PATH LN, CROWN POINT, IN 46307-5051
(219) 689-2360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018685A
IN
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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