Waidelich, Taylor Thomas

Waidelich, Taylor Thomas is an sole proprietor health care provider with primary practice located at 875 E Napier Ave , Benton Harbor MI 49022-6125. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Waidelich, Taylor Thomas can be contacted via phone (269) 983-3463.

Contact Information

Primary practice address
875 E Napier Ave Benton Harbor MI 49022-6125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302040666 Michigan
Pharmacy Service Providers / Pharmacist 183500000X 051.294936 Illinois

Profile Details

NPI number 1962788901
LBN Legal business name Waidelich, Taylor Thomas
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2011
Last updated Oct 21st, 2011 - about 14 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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