Organization
TAYLOR BROS PHARMACY LLC
Active
Other names
TAYLOR BROS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH OWEN (OWNER)
(731) 264-5651
Entity
Organization
Contact information
Practice address
109 N MAIN ST, RIDGELY, TN 38080-1316
(731) 264-5651
(731) 264-5356
Mailing address
109 N MAIN ST, RIDGELY, TN 38080-1316
(731) 264-5651
(731) 264-5356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095991
PK
—
Enumeration date
02/22/2007
Last updated
11/21/2014
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