Individual
JACINDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
622 E USTICK RD, CALDWELL, ID 83605-6311
(208) 453-2852
Mailing address
921 W 2ND ST, MERIDIAN, ID 83642-2213
(406) 460-0474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
83265
MT
183500000X
Pharmacist
Primary
P9807
ID
Other
Enumeration date
12/30/2021
Last updated
06/23/2025
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