Provider Demographics
NPI:1689382822
Name:TAYLOR PHARMACIES
Entity Type:Organization
Organization Name:TAYLOR PHARMACIES
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-408-8955
Mailing Address - Street 1:1406 N KENTUCKY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-1822
Mailing Address - Country:US
Mailing Address - Phone:928-380-3999
Mailing Address - Fax:
Practice Address - Street 1:1406 N KENTUCKY AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-1839
Practice Address - Country:US
Practice Address - Phone:417-408-8955
Practice Address - Fax:417-408-8956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy