Healthcare Provider Details

I. General information

NPI: 1376428821
Provider Name (Legal Business Name): TAYLOR HURST PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3555
US

IV. Provider business mailing address

3050 INTREPID AVE
SARASOTA FL
34232-1905
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-3758
  • Fax:
Mailing address:
  • Phone: 225-456-0529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS69207
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: