Healthcare Provider Details

I. General information

NPI: 1740848084
Provider Name (Legal Business Name): TAYLOR'S PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2019
Last Update Date: 06/27/2020
Certification Date: 06/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NORTHERN BLVD
GREAT NECK NY
11021-4044
US

IV. Provider business mailing address

1 NORTHERN BLVD
GREAT NECK NY
11021-4044
US

V. Phone/Fax

Practice location:
  • Phone: 516-266-3755
  • Fax:
Mailing address:
  • Phone: 516-226-3755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. SHIH WEI CHEN
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 516-226-3755