MEDICARE: DAWN 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
1	183500000X	Pharmacist	26024502A	IN

General Provider Information

NPI Number	:	1124530944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN TAYLOR PHARMD

Provider Business Mailing Address
First Line	:	31331 MINTON ST
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-2982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8455 HAGGERTY RD
Second Line	:
City	:	BELLEVILLE
State	:	MI
Zip	:	48111-1607
Country	:	US
Telephone Number	:	734-391-2310
Fax Number	:	734-391-2365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	11/02/2017

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Directions to “ DAWN TAYLOR PHARMD” Practice Location

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