Most Relevant Information
Provider Data
| NPI Number: | 1003570086 |
| Provider Name: | TAYLOR NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26029383A |
Most Important Dates
| Enumeration Date: | 10/26/2021 |
| Last Updated: | 10/26/2021 |
Provider Practice Location
7325 W 10TH ST
INDIANAPOLIS
IN
462142515
Practice Location Phone/Fax
| Phone: | 3172712469 |
| Fax: |
Provider Mailing Location
7325 W 10TH ST
INDIANAPOLIS
IN
462142515
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |