Provider Demographics
NPI:1508266859
Name:MCMILLION, TAYLOR (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:
Last Name:MCMILLION
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 WALL ST APT 3N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4524
Mailing Address - Country:US
Mailing Address - Phone:318-331-5363
Mailing Address - Fax:
Practice Address - Street 1:414 N CRAFT HWY
Practice Address - Street 2:
Practice Address - City:CHICKASAW
Practice Address - State:AL
Practice Address - Zip Code:36611-1312
Practice Address - Country:US
Practice Address - Phone:251-452-0531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-23
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist