Individual
PAULA M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
258 PINETREE DRIVE, BIGFORK, MN 56628
(218) 743-4444
(218) 743-4232
Mailing address
PO BOX 258, BIGFORK, MN 56628-0258
(218) 743-4444
(218) 743-4232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113118
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222121700
—
MN
Enumeration date
05/11/2009
Last updated
05/11/2009
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