Individual
TAYLOR MATHWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-3265
Mailing address
2 FARM PONDS RD, NORTH STONINGTON, CT 06359-1753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21955
AL
390200000X
Student in an Organized Health Care Education/Training Program
S12407
AL
Other
Enumeration date
01/17/2019
Last updated
08/12/2021
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