Provider Demographics
NPI:1588188999
Name:MAKATURA, TAYLOR (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:MAKATURA
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 1:2535 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:PALMER TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5222
Mailing Address - Country:US
Mailing Address - Phone:610-252-3538
Mailing Address - Fax:
Practice Address - Street 1:2535 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:PALMER TWP
Practice Address - State:PA
Practice Address - Zip Code:18045-5222
Practice Address - Country:US
Practice Address - Phone:610-252-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist