Provider Demographics
NPI:1144533258
Name:TAYLOR, MARIA LYNNE (RPH)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LYNNE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BIDDLE DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1708
Mailing Address - Country:US
Mailing Address - Phone:610-724-5776
Mailing Address - Fax:
Practice Address - Street 1:302 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-9769
Practice Address - Country:US
Practice Address - Phone:610-910-9580
Practice Address - Fax:610-537-5055
Is Sole Proprietor?:No
Enumeration Date:2010-07-17
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039579L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist