Provider Demographics
NPI:1316206980
Name:TAYLOR, ANYA C (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANYA
Middle Name:C
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 MERIDIAN DR APT 10
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5568
Mailing Address - Country:US
Mailing Address - Phone:917-373-4996
Mailing Address - Fax:
Practice Address - Street 1:718 EAST BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2738
Practice Address - Country:US
Practice Address - Phone:252-792-2269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist