Provider Demographics
NPI:1619207743
Name:TAYLOR, TROY JOSHUA (PHARM D)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:JOSHUA
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10405 N LA CANADA DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-6945
Mailing Address - Country:US
Mailing Address - Phone:608-320-1348
Mailing Address - Fax:520-297-5934
Practice Address - Street 1:10405 N LA CANADA DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-6945
Practice Address - Country:US
Practice Address - Phone:608-320-1348
Practice Address - Fax:520-297-5934
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist