Individual
DR. TAWNEE D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
621 HIGHWAY 2 N, WILBURTON, OK 74578-3620
(918) 465-0111
(918) 465-0015
Mailing address
621 HIGHWAY 2 N, WILBURTON, OK 74578-3620
(918) 465-0111
(918) 465-0015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14962
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14962
OKLAHOMA STATE BOARD OF PHARMACY LICENSE
OK
Enumeration date
07/22/2019
Last updated
07/22/2019
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