Individual
MRS. MARY JANIS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B. S. PHARMACY
Contact information
Practice address
323 NASH AVE, COOKEVILLE, TN 38501-3692
(931) 982-0191
(847) 747-1608
Mailing address
323 NASH AVE, COOKEVILLE, TN 38501-3692
(931) 982-0191
(847) 747-1608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13357
AL
183500000X
Pharmacist
Primary
33797
TN
183500000X
Pharmacist
E07649
MS
183500000X
Pharmacist
PS24191
FL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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