Provider Demographics
NPI:1700486842
Name:TAYLOR, LORI ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:TAYLOR
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 1:4450 E MCCAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2519
Mailing Address - Country:US
Mailing Address - Phone:501-945-9400
Mailing Address - Fax:501-945-8073
Practice Address - Street 1:4450 E MCCAIN BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2519
Practice Address - Country:US
Practice Address - Phone:501-945-9400
Practice Address - Fax:501-945-8073
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist