Provider Demographics
NPI:1649246398
Name:TAYLOR, HEATHER LYN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1857 PINE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2429
Mailing Address - Country:US
Mailing Address - Phone:325-660-4287
Mailing Address - Fax:
Practice Address - Street 1:1857 PINE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2429
Practice Address - Country:US
Practice Address - Phone:325-660-4287
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist