Healthcare Provider Details

I. General information

NPI: 1508784737
Provider Name (Legal Business Name): TAYLOR FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48439 GENESIS DR
COSHOCTON OH
43812-3204
US

IV. Provider business mailing address

18268 TOWNSHIP ROAD 284
COSHOCTON OH
43812-9567
US

V. Phone/Fax

Practice location:
  • Phone: 740-722-9558
  • Fax:
Mailing address:
  • Phone: 740-294-4880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03337672
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: