Individual
MR. GARY MICHAEL TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
400 N HIGHLAND AVE, MURFREESBORO, TN 37130-3837
(615) 396-4124
(615) 396-4783
Mailing address
118 LOVE CT, MURFREESBORO, TN 37129-1514
(615) 890-1401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4365
PHARMACY LICENSE NUMBER
TN
Enumeration date
05/03/2006
Last updated
07/08/2007
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