Provider Demographics
NPI:1962604769
Name:TAYLOR, WILLIAM BOYCE (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BOYCE
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12521 HIDDENVALE CT
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9153
Mailing Address - Country:US
Mailing Address - Phone:517-675-5093
Mailing Address - Fax:
Practice Address - Street 1:12521 HIDDENVALE CT
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9153
Practice Address - Country:US
Practice Address - Phone:517-675-5093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist