Provider Demographics
NPI:1386051969
Name:TAYLOR, TIFFANY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
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 1:3621 SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-7937
Mailing Address - Country:US
Mailing Address - Phone:843-830-3726
Mailing Address - Fax:
Practice Address - Street 1:1630 RED BANK RD
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-4588
Practice Address - Country:US
Practice Address - Phone:843-553-7876
Practice Address - Fax:843-553-3545
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist