Individual
JEREMY D TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11913 NE 195TH ST, BOTHELL, WA 98011-3147
(425) 489-3100
Mailing address
2280 IBSEN AVE, COTTAGE GROVE, OR 97424-1902
(541) 520-6056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46366
LA
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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