Provider Demographics
NPI:1588786503
Name:TAYLOR, RENEE HILL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:HILL
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RENEE
Other - Middle Name:H
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5924 AVON DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2202
Mailing Address - Country:US
Mailing Address - Phone:646-421-0920
Mailing Address - Fax:
Practice Address - Street 1:4600 MITCHELLVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3110
Practice Address - Country:US
Practice Address - Phone:301-352-3830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16797183500000X
DCPH100000207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist