Provider Demographics
NPI:1346088861
Name:TAYLOR, SHANDRIA LECHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:SHANDRIA
Middle Name:LECHELLE
Last Name: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 1:400 CHANEY RD APT 820
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2658
Mailing Address - Country:US
Mailing Address - Phone:601-618-6085
Mailing Address - Fax:
Practice Address - Street 1:3010 W END AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1318
Practice Address - Country:US
Practice Address - Phone:615-269-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist