Provider Demographics
NPI:1609474493
Name:TAYLOR, CAMERON BISHOP (PHARMD)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:BISHOP
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 JEFFERSON HWY STE A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2448
Mailing Address - Country:US
Mailing Address - Phone:504-842-7439
Mailing Address - Fax:504-842-6931
Practice Address - Street 1:1405 JEFFERSON HWY STE A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2448
Practice Address - Country:US
Practice Address - Phone:504-842-7439
Practice Address - Fax:504-842-6931
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020028369183500000X
TX685111835P0200X
LAPST.024996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0200XPharmacy Service ProvidersPharmacistPediatrics