Individual
MR. BRUCE SAMUEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
12805 PRINCELEIGH ST, UPPER MARLBORO, MD 20774-1708
(240) 501-1180
Mailing address
12805 PRINCELEIGH ST, UPPER MARLBORO, MD 20774-1708
(240) 501-1180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11327
MD
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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