Provider Demographics
NPI:1689392821
Name:PLATT, TAYLOR (PHARMD, MHSA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:PLATT
Suffix:
Gender:F
Credentials:PHARMD, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1314
Mailing Address - Country:US
Mailing Address - Phone:724-226-4725
Mailing Address - Fax:
Practice Address - Street 1:1529 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1314
Practice Address - Country:US
Practice Address - Phone:724-226-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist