Healthcare Provider Details

I. General information

NPI: 1740142348
Provider Name (Legal Business Name): TAYLOR FEWOX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 PRESIDENT ST
CHARLESTON SC
29425-5712
US

IV. Provider business mailing address

6104 FIELDSTONE CIR
CHARLESTON SC
29414-7567
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-5553
  • Fax:
Mailing address:
  • Phone: 843-792-5553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number60603
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: