Individual provider · Type 1 NPI

Taylor Thomas Waidelich, PharmD

Pharmacist · Benton Harbor, MI

NPI number 1962788901 Active

Practice location

875 E Napier Ave
Benton Harbor, MI 49022-6125

Call (269) 983-3463 Map

Mailing address

2940 Pagoda Path
Stevensville, MI 49127-9327

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	5302040666 (MI)
Pharmacist	183500000X	051.294936 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1962788901

Taylor Thomas Waidelich, PharmD's National Provider Identifier is 1962788901, issued on Oct 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Benton Harbor, MI. The record was last updated on Oct 21, 2011.