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Individual

DR. JAMES LAUVON TAYLOR III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-7042
Mailing address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-7042

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08118
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120429
MS
Enumeration date
08/30/2005
Last updated
07/14/2009
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