Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Siriyagorn Ladsavong

Individual provider Pharmacist · NPI 1114879632

Tara Siriyagorn Ladsavong is a Pharmacist in Taylors, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

2801 Wade Hampton Blvd
Taylors, SC 29687-2781
Phone: (864) 609-7306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 60763 (SC)

Record details

NPI number1114879632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

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