Provider Demographics
NPI:1982039988
Name:TAYLOR, DOROTHY BLAIR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:BLAIR
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 1:396 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:KS
Mailing Address - Zip Code:66401-9760
Mailing Address - Country:US
Mailing Address - Phone:785-449-2791
Mailing Address - Fax:
Practice Address - Street 1:325 BLUEMONT AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5723
Practice Address - Country:US
Practice Address - Phone:785-776-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-16185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist