Individual
PEYTON TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1956 SANDY HOOK RD, GOOCHLAND, VA 23063-3107
(804) 556-3607
Mailing address
PO BOX 166, GOOCHLAND, VA 23063-0166
(804) 556-3607
(804) 556-2414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202005750
BOARD OF PHARMACY LICENSE
VA
Enumeration date
03/09/2021
Last updated
03/09/2021
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