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NPI Code Detail

MEDICARE: TONY TAYAR PHARMD

MEDICARE:   TONY  TAYAR  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
11835P1200XPharmacotherapy Pharmacist5302411694MI

General Provider Information

NPI Number : 1093369001
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY TAYAR PHARMD
Provider Business Mailing Address
First Line : 1423 PEACHTREE DR
Second Line :
City : TROY
State : MI
Zip : 48083-5396
Country : US
Telephone Number : 248-285-2575
Fax Number :
Provider Business Practice Location Address
First Line : 21431 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48219-3801
Country : US
Telephone Number : 313-778-7610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2019
Last Update Date : 07/29/2019

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Directions to “ TONY TAYAR PHARMD” Practice Location

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