MEDICARE: JEFFREY T. TAYLOR R.PH.

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
1	183500000X	Pharmacist	03-2-13267	OH
2	183500000X	Pharmacist	008940	KY

General Provider Information

NPI Number	:	1649277021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY T. TAYLOR R.PH.

Provider Business Mailing Address
First Line	:	3051 WILLIAMS CREEK DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-3257
Country	:	US
Telephone Number	:	513-474-5112
Fax Number	:

Provider Business Practice Location Address
First Line	:	3051 WILLIAMS CREEK DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-3257
Country	:	US
Telephone Number	:	513-474-5112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/08/2007

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