Organization
PAUL TAYLOR INC
Active
Other names
TAYLOR MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TAYLOR RPH (PRESIDENT)
(704) 664-8950
Entity
Organization
Contact information
Practice address
6360 E NC 150 HWY, SHERRILLS FORD, NC 28673-9404
(704) 483-9150
(704) 664-1999
Mailing address
114 SURFSIDE LN, MOORESVILLE, NC 28117-7464
(704) 664-8950
(704) 664-1999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336M0002X
Mail Order Pharmacy
Primary
09269
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3405948
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7704471
—
NC
Enumeration date
08/18/2006
Last updated
12/02/2009
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