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TAYLOR VICTORIA BORNE

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1992272397

Individual Registrant:
 TAYLOR VICTORIA BORNE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
178 HIGHWAY 167 N  BALD KNOB, AR 72010-4058 US
Tel: 501-724-6207  Fax: 501-724-3305

Contact information for business:
PO BOX 497  AUGUSTA, AR 72006-0497 US
Tel: 870-347-3377  Fax: 870-347-3492

Registration Information:
NPI: 1992272397
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
ARP122353

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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