Provider Demographics
NPI:1205473345
Name:TAYLOR, MAGGIE RUTH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:RUTH
Last Name:TAYLOR
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 1:708 ROSE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3960
Mailing Address - Country:US
Mailing Address - Phone:479-774-3377
Mailing Address - Fax:
Practice Address - Street 1:614 BEECHWOOD ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3847
Practice Address - Country:US
Practice Address - Phone:501-666-7997
Practice Address - Fax:501-666-0069
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD127741835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist