Provider Demographics
NPI:1063630176
Name:TAYLOR, SCOTT M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15808 W MCCORMICK AVE
Mailing Address - Street 2:
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-5213
Mailing Address - Country:US
Mailing Address - Phone:316-722-8097
Mailing Address - Fax:316-722-8097
Practice Address - Street 1:929 N SAINT FRANCIS ST
Practice Address - Street 2:VIA CHRISTI REGIONAL MEDICAL CENTER DEPT OF PHARMACY
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3821
Practice Address - Country:US
Practice Address - Phone:316-268-5702
Practice Address - Fax:316-291-7443
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS135121835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy