Provider Demographics
NPI:1861481582
Name:RICE, TAYLOR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:
Last Name:RICE
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 1:559 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3718
Mailing Address - Country:US
Mailing Address - Phone:770-957-1853
Mailing Address - Fax:770-692-0419
Practice Address - Street 1:559 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3718
Practice Address - Country:US
Practice Address - Phone:770-957-1853
Practice Address - Fax:770-692-0419
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0022130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist