NPI 1003437591

Wacey Taylor

Practitioner Pharmacist Shreveport, LA

Practice location

Address: 7004 Youree Dr, Shreveport, LA 71105-5109
Phone: (318) 797-3665

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 023385 (LA)

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Registry record

NPI: 1003437591
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2020
Record last updated: 6 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.