Riley, Tailor Ilise

Riley, Tailor Ilise is an individual health care provider with primary practice located at 2010 Country Club Rd , Lake Charles LA 70605-5206. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Riley, Tailor Ilise can be contacted via phone (337) 990-4902.

Contact Information

Primary practice address
2010 Country Club Rd Lake Charles LA 70605-5206
Phone: (337) 990-4902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PST.022506 Louisiana

Profile Details

NPI number 1841771995
LBN Legal business name Riley, Tailor Ilise
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2018
Last updated Aug 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841771995 NPPES
Louisiana Other PST.022506 LOUISIANA BOARD OF PHARMACY
Louisiana Other MA.003770 LOUISIANA BOARD OF PHARMACY

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