Provider Demographics
NPI:1033428834
Name:TAYLOR, JOANNE D (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 HIGHWAY 82 E
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-6069
Mailing Address - Country:US
Mailing Address - Phone:662-455-1141
Mailing Address - Fax:
Practice Address - Street 1:2616 HIGHWAY 82 E
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-6069
Practice Address - Country:US
Practice Address - Phone:662-455-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD7123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist