Provider Demographics
NPI:1548140338
Name:HENRY, TAYLOR ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ANN
Last Name:HENRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 GROSSMONT CENTER DR BLDG P
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3030
Mailing Address - Country:US
Mailing Address - Phone:619-462-9592
Mailing Address - Fax:
Practice Address - Street 1:5500 GROSSMONT CENTER DR BLDG P
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3030
Practice Address - Country:US
Practice Address - Phone:619-462-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist