MEDICARE: MRS. ANGELA KAY 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	5567001-1701	UT

General Provider Information

NPI Number	:	1992023584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA KAY TAYLOR PHARMD

Provider Business Mailing Address
First Line	:	4247 S DENO DR
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-5148
Country	:	US
Telephone Number	:	801-518-3642
Fax Number	:

Provider Business Practice Location Address
First Line	:	4247 S DENO DR
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-5148
Country	:	US
Telephone Number	:	801-518-3642
Fax Number	:

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

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	05/06/2010

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