Provider Demographics
NPI:1013322551
Name:HAMILTON, TAYLOR ASHLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ASHLEY
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 GREEN MOUNTAIN DR
Mailing Address - Street 2:APT. 318
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-4066
Mailing Address - Country:US
Mailing Address - Phone:870-500-3846
Mailing Address - Fax:
Practice Address - Street 1:10816 EXECUTIVE CENTER DR
Practice Address - Street 2:SUITE 301
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4354
Practice Address - Country:US
Practice Address - Phone:501-219-1881
Practice Address - Fax:501-219-1024
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist