Provider Demographics
NPI:1427036912
Name:TAYLOR, ALLAN CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:CHRISTOPHER
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13333 CARNATION AVE NW
Mailing Address - Street 2:
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-9626
Mailing Address - Country:US
Mailing Address - Phone:330-877-0058
Mailing Address - Fax:
Practice Address - Street 1:13333 CARNATION AVE NW
Practice Address - Street 2:
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-9626
Practice Address - Country:US
Practice Address - Phone:330-877-0058
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-19423183500000X
FLPS 39979183500000X
NC18040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist