Provider Demographics
NPI:1407365166
Name:PAAP, TAYLOR JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:JAMES
Last Name:PAAP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GRANTSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:54840-7022
Mailing Address - Country:US
Mailing Address - Phone:715-463-2525
Mailing Address - Fax:715-463-5343
Practice Address - Street 1:122 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:GRANTSBURG
Practice Address - State:WI
Practice Address - Zip Code:54840-7022
Practice Address - Country:US
Practice Address - Phone:715-463-2525
Practice Address - Fax:715-463-5343
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18894-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist