Individual
AMY ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1522 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 762-1660
Mailing address
701 INDIANA ST, BLYTHEVILLE, AR 72315-1407
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT84381
AR
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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