Provider Demographics
NPI:1659611382
Name:TAYLOR, RONALD LEE (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:LEE
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 1:230 HIGHWAY 64 E
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-5526
Mailing Address - Country:US
Mailing Address - Phone:828-389-2804
Mailing Address - Fax:828-389-2832
Practice Address - Street 1:230 HIGHWAY 64 E
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-5526
Practice Address - Country:US
Practice Address - Phone:828-389-2804
Practice Address - Fax:828-389-2832
Is Sole Proprietor?:No
Enumeration Date:2013-02-16
Last Update Date:2013-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist