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NPI Code Detail

MEDICARE: JANICE TAYLOR PAGE PHARMD

MEDICARE: JANICE TAYLOR PAGE 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
1183500000XPharmacist017333GA

General Provider Information

NPI Number : 1326021080
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE TAYLOR PAGE PHARMD
Provider Business Mailing Address
First Line : 124 MEADOWLAND TRL
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-9176
Country : US
Telephone Number : 706-845-3731
Fax Number : 706-845-3455
Provider Business Practice Location Address
First Line : 1514 VERNON RD
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4131
Country : US
Telephone Number : 706-845-3731
Fax Number : 706-845-3455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2005
Last Update Date : 07/08/2007

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Directions to “ JANICE TAYLOR PAGE PHARMD” Practice Location

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