Healthcare Provider Details

I. General information

NPI: 1720906738
Provider Name (Legal Business Name): TAYLOR CLOSE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 MILL ST
RENO NV
89502-1576
US

IV. Provider business mailing address

501 RIVER RANCH RD UNIT 1722
FERNLEY NV
89408-8326
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-3409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25164
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: