Individual
TAYLOR JAMES BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
476 CANAL ST, BRATTLEBORO, VT 05301-6621
(802) 254-5633
Mailing address
25 FRANKLIN ST APT F, EASTHAMPTON, MA 01027-1733
(413) 212-1500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238575
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0134224
STATE OF VERMONT
VT
01
—
PH238575
BOARD OF REGISTRATION IN PHARMACY
MA
Enumeration date
12/26/2018
Last updated
12/26/2018
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