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NPI Code Detail

MEDICARE: DR. ELANA D TAYLOR PHARMD

MEDICARE: DR. ELANA D TAYLOR PHARMD
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
1183500000XPharmacistPS33498FL

General Provider Information

NPI Number : 1962783985
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELANA D TAYLOR PHARMD
Provider Business Mailing Address
First Line : 2839 COUNTY ROAD 210 W
Second Line :
City : ST JOHNS
State : FL
Zip : 32259-2016
Country : US
Telephone Number : 904-287-5476
Fax Number :
Provider Business Practice Location Address
First Line : 2839 COUNTY ROAD 210 W
Second Line :
City : ST JOHNS
State : FL
Zip : 32259-2016
Country : US
Telephone Number : 904-287-5476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2011
Last Update Date : 10/25/2022

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Directions to “ DR. ELANA D TAYLOR PHARMD” Practice Location

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