Healthcare Provider Details

I. General information

NPI: 1366420275
Provider Name (Legal Business Name): TAYLORS DRUG CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3324 WADE HAMPTON BLVD
TAYLORS SC
29687-2902
US

IV. Provider business mailing address

PO BOX 5 3324 WADE HAMPTON BLVD
TAYLORS SC
29687
US

V. Phone/Fax

Practice location:
  • Phone: 864-244-1513
  • Fax: 864-322-6801
Mailing address:
  • Phone: 864-244-1513
  • Fax: 864-322-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1529
License Number StateSC

VIII. Authorized Official

Name: MR. MAXIE E EDWARDS
Title or Position: PRESIDENT PHARMACIST
Credential: RPH
Phone: 864-244-1513