Individual
CODY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3050 W NORTHERN AVE, PUEBLO, CO 81005-2317
(719) 564-0491
Mailing address
7310 CHAPS LANE, COLORADO CITY, CO 81019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020407
CO
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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