Provider Demographics
NPI:1548583685
Name:TAYLOR, VALERIE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3039 WHITE TAIL CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-9102
Mailing Address - Country:US
Mailing Address - Phone:330-666-9650
Mailing Address - Fax:
Practice Address - Street 1:241 WOOSTER RD N
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-2560
Practice Address - Country:US
Practice Address - Phone:330-745-9922
Practice Address - Fax:330-745-4035
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03217739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist