Individual
TAYLOR EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
(803) 791-7043
Mailing address
1300 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36125
SC
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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