Provider Demographics
NPI:1568274405
Name:TAYLOR, ANN S (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:S
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 BRIDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-8818
Mailing Address - Country:US
Mailing Address - Phone:828-493-1448
Mailing Address - Fax:
Practice Address - Street 1:5525 BRIDGEWATER DR
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-8818
Practice Address - Country:US
Practice Address - Phone:828-493-1448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03217639183500000X
NC18041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist