Healthcare Provider Details

I. General information

NPI: 1346172004
Provider Name (Legal Business Name): TAYLOR BURROUGHS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3697 WINDSOR SPRING RD
HEPHZIBAH GA
30815-7157
US

IV. Provider business mailing address

595 WICKHAM DR
GRANITEVILLE SC
29829-3951
US

V. Phone/Fax

Practice location:
  • Phone: 706-691-0571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: