Jimmy Mike Taylor in Pooler - Pharmacist

Jimmy Mike Taylor - NPI 1053528984

Jimmy Mike Taylor is a Pharmacist in Pooler, Georgia. Jimmy Mike Taylor practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jimmy Mike Taylor is 1053528984. The last update date is 2007-07-08.

Jimmy Mike Taylor's current location address is 110 Medical Park Dr, Pooler, Georgia. You can contact this provider via phone number 9127483194. The mailing address for Jimmy Mike Taylor is 110 Medical Park Dr, Pooler, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jimmy Mike Taylor
Address 110 Medical Park Dr, Pooler, Georgia
Phone Number 9127483194
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1053528984
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 110 Medical Park Dr
City Pooler
State Georgia (GA)
Post Code 313221956
Phone Number 9127483194
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 14254
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Jimmy Mike Taylor

What is the Jimmy Mike Taylor's 1053528984?

The Jimmy Mike Taylor's NPI (National Provider Identifier) Number is 1053528984. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jimmy Mike Taylor is geographically located?

The Jimmy Mike Taylor is physically situated at the following location: 110 Medical Park Dr, Pooler, GA, 313221956.

What is Jimmy Mike Taylor's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jimmy Mike Taylor's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053528984 to Jimmy Mike Taylor?

The Centers for Medicare & Medicaid Services originally issued the 1053528984 to Jimmy Mike Taylor on 2007-05-17.

As of what date were the details related to Jimmy Mike Taylor most recently updated or revised?

The information pertaining to Jimmy Mike Taylor, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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