Individual provider · Type 1 NPI

Tara Siriyagorn Ladsavong

Pharmacist · Taylors, SC

NPI number 1114879632 Active

Practice location

2801 Wade Hampton Blvd
Taylors, SC 29687-2781

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X60763 (SC)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

7 other providers at this address

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About NPI 1114879632

Tara Siriyagorn Ladsavong's National Provider Identifier is 1114879632, issued on Feb 10, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Taylors, SC. The record was last updated on Feb 10, 2026.