Healthcare Provider Details

I. General information

NPI: 1457405581
Provider Name (Legal Business Name): STEPHANIE LYNN TAYLOR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14662 N US HIGHWAY 25 E
CORBIN KY
40701-6425
US

IV. Provider business mailing address

45 MONHOLLEN CEMETERY RD
CORBIN KY
40701-2855
US

V. Phone/Fax

Practice location:
  • Phone: 606-526-9005
  • Fax:
Mailing address:
  • Phone: 606-344-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number013330
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: