Individual
CONSTANCE JOYCE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CONNIE TAYLOR
Contact information
Practice address
43 W PRAIRIE SHOPPING CTR, HAYDEN, ID 83835-9854
(208) 772-5543
(208) 772-7176
Mailing address
3692 W FAIRWAY DR, COEUR D ALENE, ID 83815-8020
(208) 765-5323
(208) 772-7176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3701
ID
183500000X
Pharmacist
PH00009309
WA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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