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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TAYLOR THOMAS WAIDELICH, PHARM.D.

Active Sole Proprietor

DR. TAYLOR THOMAS WAIDELICH, PHARM.D. is a Pharmacist healthcare provider located in BENTON HARBOR, Michigan. NPI 1962788901 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BENTON HARBOR, MI

Registration Details

NPI Number
1962788901
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2011 (14.792575825267 yrs)
Last Updated
Oct 21, 2011
Licenses
5302040666 (MI)
051.294936 (IL)
Sole Proprietor
Yes

Practice Information

Address
875 E NAPIER AVE
BENTON HARBOR, MI, 490226125
Browse MI providers · Browse ZIP 49022
Phone
2699833463
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in BENTON HARBOR, MI

Name Credential NPI
MR. STEVEN EDWARD WOLTER R. PH. 1497893267
ROBERT B KRESS RPH CCN 1164647020
MR. SEFIAMO NTUMI RPH 1164721387
MR. PRABHAKARARAO YENDURI B.PH 1659661726
MRS. KATHLEEN BABLADELIS RPH 1619250321
KIMBERLY ANNE HARDT 1912280835
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.