Provider Demographics
NPI:1861742215
Name:FLOYD, TAYLOR WHITTLE (PHARMD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:WHITTLE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 LONG BRANCH ROAD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:SC
Mailing Address - Zip Code:29054
Mailing Address - Country:US
Mailing Address - Phone:803-622-6231
Mailing Address - Fax:864-445-2344
Practice Address - Street 1:321 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:SC
Practice Address - Zip Code:29138
Practice Address - Country:US
Practice Address - Phone:864-445-7580
Practice Address - Fax:864-445-2344
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC012123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist