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NPI Code Detail

MEDICARE: ALYSSA TAYLOR PHARMD

MEDICARE:   ALYSSA  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
1183500000XPharmacist62826TX

General Provider Information

NPI Number : 1790256915
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA TAYLOR PHARMD
Provider Business Mailing Address
First Line : 2505 56TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-4913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3615 19TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79410-1209
Country : US
Telephone Number : 806-725-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/16/2018

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Directions to “ ALYSSA TAYLOR PHARMD” Practice Location

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