Provider Demographics
NPI:1427832757
Name:THOMAS, TAYLOR ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANN
Last Name:THOMAS
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 1:9072 PARLOR DR
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-5517
Mailing Address - Country:US
Mailing Address - Phone:843-607-6824
Mailing Address - Fax:
Practice Address - Street 1:9625 HIGHWAY 78
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-3913
Practice Address - Country:US
Practice Address - Phone:843-863-8507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC44072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist