Provider Demographics
NPI:1053187682
Name:ATWOOD, TAYLOR MEGAN (PHARMD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MEGAN
Last Name:ATWOOD
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 1:1101 NW 178TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4281
Mailing Address - Country:US
Mailing Address - Phone:405-285-2600
Mailing Address - Fax:405-285-2660
Practice Address - Street 1:1101 NW 178TH ST STE A
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4281
Practice Address - Country:US
Practice Address - Phone:405-285-2600
Practice Address - Fax:405-285-2660
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist