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General NPI Number Information
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NPI Number | 1386357051
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Entity Type | Organization
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Legal Business Name | TAYLOR PHARMACY GROUP, INC.
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 12995 FLORIDA AVE STE B
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City | SAINT GEORGE
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State | GA
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Zip | 31562-3265
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Country | US
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Telephone | 912-843-8280
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Fax | 912-843-2456
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Provider Business Mailing Address
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Address Line | PO BOX 95
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City | SAINT GEORGE
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State | GA
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Zip | 31562-0095
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Country | US
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Telephone | 912-843-8280
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Fax | 912-843-2456
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. JILLIAN BROOKE TAYLOR
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Credential | PHARMD
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Telephone | 912-288-1898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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