Individual
JEREMIAH EZEKIEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
525 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8213
(423) 926-6154
Mailing address
525 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8213
(423) 926-6154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33579
TN
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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