Healthcare Provider Details

I. General information

NPI: 1437479136
Provider Name (Legal Business Name): AMBER LEE TAYLOR PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER LEE WRIGHT PHARM.D.

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MYRTLE ST
MEDFORD OR
97504-7337
US

IV. Provider business mailing address

1221 DISK DR
MEDFORD OR
97501-6638
US

V. Phone/Fax

Practice location:
  • Phone: 541-773-3863
  • Fax: 541-776-2892
Mailing address:
  • Phone: 541-842-7747
  • Fax: 541-842-7637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH0012220
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH0012220
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: