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Individual

ERNEST TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8912 VETERANS MEMORIAL BLVD, METAIRIE, LA 70003-5200
(504) 465-0171
(504) 465-9047
Mailing address
8912 VETERANS MEMORIAL BLVD, METAIRIE, LA 70003-5200
(504) 465-0171
(504) 465-9047

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.011360
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
610514
LA
Enumeration date
08/14/2014
Last updated
08/14/2014
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