Individual
TAYLOR REDFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 S SILVERSTONE WAY, MERIDIAN, ID 83642
(855) 745-5725
Mailing address
1820 S SILVERSTONE WAY, MERIDIAN, ID 83642-9515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9006
ID
183500000X
Pharmacist
PHA-PHA-LIC-48785
MT
183500000X
Pharmacist
RPH-0016132
OR
Other
Enumeration date
05/25/2017
Last updated
05/25/2022
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