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NPI Code Detail

MEDICARE: TRAYLOR RAWLS

MEDICARE: TRAYLOR RAWLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPD17442AR

General Provider Information

NPI Number : 1144171398
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAYLOR RAWLS
Provider Business Mailing Address
First Line : 69 SHERWOOD LOOP
Second Line :
City : SEARCY
State : AR
Zip : 72143-4929
Country : US
Telephone Number : 601-248-7924
Fax Number :
Provider Business Practice Location Address
First Line : 3214 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4810
Country : US
Telephone Number : 501-268-6121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ TRAYLOR RAWLS ” Practice Location

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