Provider Demographics
NPI:1386357051
Name:TAYLOR PHARMACY GROUP, INC.
Entity type:Organization
Organization Name:TAYLOR PHARMACY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:912-288-1898
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:GA
Mailing Address - Zip Code:31562-0095
Mailing Address - Country:US
Mailing Address - Phone:912-843-8280
Mailing Address - Fax:912-843-2456
Practice Address - Street 1:12995 FLORIDA AVE STE B
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:GA
Practice Address - Zip Code:31562-3265
Practice Address - Country:US
Practice Address - Phone:912-843-8280
Practice Address - Fax:912-843-2456
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAYLOR PHARMACY GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy