Individual
DR. TIMOTHY DEWAINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
333 LAIDLEY ST FL 3, CHARLESTON, WV 25301-1614
(304) 720-7099
Mailing address
4 DEER RUN, HURRICANE, WV 25526-9280
(304) 382-3856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009354
WV
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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