Provider Demographics
NPI:1073652103
Name:TAYLOR, CHRISTOPHER BRENT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRENT
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 1:119 S MILL ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-6457
Mailing Address - Country:US
Mailing Address - Phone:931-589-2146
Mailing Address - Fax:931-589-2890
Practice Address - Street 1:119 S MILL ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096-6457
Practice Address - Country:US
Practice Address - Phone:931-589-2146
Practice Address - Fax:931-589-2890
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN130011835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist