Healthcare Provider Details

I. General information

NPI: 1013521186
Provider Name (Legal Business Name): GUNNER JAMES TAYLOR PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S 2ND ST
HAMILTON OH
45011-2811
US

IV. Provider business mailing address

210 S 2ND ST
HAMILTON OH
45011-2811
US

V. Phone/Fax

Practice location:
  • Phone: 513-645-5447
  • Fax: 513-785-4897
Mailing address:
  • Phone: 513-645-5447
  • Fax: 513-785-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03337271
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: