Provider Demographics
NPI:1174127328
Name:LEWIS-TAYLOR, TASHONDA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TASHONDA
Middle Name:
Last Name:LEWIS-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 1:1218 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-1630
Mailing Address - Country:US
Mailing Address - Phone:205-349-2660
Mailing Address - Fax:205-435-6900
Practice Address - Street 1:1218 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1630
Practice Address - Country:US
Practice Address - Phone:205-349-2660
Practice Address - Fax:205-435-6900
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL185741835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE