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NPI Code Detail

MEDICARE: DR. BROOKE TAYLOR PHARMD, BCPPS

MEDICARE: DR. BROOKE TAYLOR PHARMD, BCPPS
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
11835P0200XPediatric Pharmacist2016021949MO

General Provider Information

NPI Number : 1841942885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BROOKE TAYLOR PHARMD, BCPPS
Provider Business Mailing Address
First Line : 815 QUEEN ANNE PL
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3143
Country : US
Telephone Number : 314-681-0217
Fax Number :
Provider Business Practice Location Address
First Line : 1465 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1003
Country : US
Telephone Number : 314-678-2177
Fax Number : 314-268-4069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2022
Last Update Date : 01/20/2022

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