Taylor, Brandon Lee

Taylor, Brandon Lee is an individual health care provider with primary practice located at 12200 S Waco Ave , Glenpool OK 74033-5655. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Taylor, Brandon Lee can be contacted via phone (918) 299-8052.

Contact Information

Primary practice address
12200 S Waco Ave Glenpool OK 74033-5655
Phone: (918) 299-8052
Fax: (918) 299-8055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19808 Oklahoma

Profile Details

NPI number 1912627597
LBN Legal business name Taylor, Brandon Lee
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2022
Last updated Sep 1st, 2022 - about 3 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 1912627597 NPPES
Oklahoma Other 19808 OK PHARMACY LICENSE

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