Provider Demographics
NPI:1720605488
Name:HARMAN, TAYLOR BOWEN (PHARMD, RPH, AAHIVP)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:BOWEN
Last Name:HARMAN
Suffix:
Gender:M
Credentials:PHARMD, RPH, AAHIVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 N TACOMA AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-3242
Mailing Address - Country:US
Mailing Address - Phone:215-280-2328
Mailing Address - Fax:
Practice Address - Street 1:390 AIRTECH PKWY
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-7455
Practice Address - Country:US
Practice Address - Phone:317-963-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023741183500000X
NE17976183500000X
OH03443558183500000X
MN126174183500000X
IN26028768A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist