Individual
MICHAEL TRAVIS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1514 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4741
(520) 836-2787
Mailing address
1514 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020748
AZ
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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