Davis, Taylor
Davis, Taylor is an individual health care provider with primary practice located at 385 N Overland Ave , Burley ID 83318-3432. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Davis, Taylor can be contacted via phone (208) 677-4804.Contact Information
Primary practice address
385 N Overland Ave
Burley ID 83318-3432
Phone: (208) 677-4804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P7669 | Idaho |
Profile Details
| NPI number | 1487198693 |
|---|---|
| LBN Legal business name | Davis, Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2016 |
| Last updated | Dec 6th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487198693 | NPPES |
| Idaho | Other | P7669 | IDAHO PHARMACIST LICENSE |
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