Basic Information
Provider Information
NPI: 1316675119
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAYLOR
FirstName: SARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 HOSPITAL RD
Address2:  
City: CHEROKEE
State: NC
PostalCode: 28719
CountryCode: US
TelephoneNumber: 8284979163
FaxNumber:  
Practice Location
Address1: 1 HOSPITAL RD.
Address2:  
City: CHEROKEE
State: NC
PostalCode: 28719
CountryCode: US
TelephoneNumber: 8284979163
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/10/2022
LastUpdateDate: 08/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X30891NCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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