Most Relevant Information
Provider Data
NPI Number: | 1003539461 |
Provider Name: | TAYLOR EL DACCACHE |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PS63695 |
Most Important Dates
Enumeration Date: | 09/21/2022 |
Last Updated: | 09/21/2022 |
Provider Practice Location
6391 BAYSHORE RD
NORTH FORT MYERS
FL
339173130
Practice Location Phone/Fax
Phone: | 2395435312 |
Fax: |
Provider Mailing Location
6391 BAYSHORE RD
NORTH FORT MYERS
FL
339173130
Provider Mailing Phone/Fax
Phone: | |
Fax: |