Provider Demographics
NPI:1568977544
Name:JACOB, TAFFY LINNEA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TAFFY
Middle Name:LINNEA
Last Name:JACOB
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9851 S 71ST PLZ
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-2244
Mailing Address - Country:US
Mailing Address - Phone:402-686-2393
Mailing Address - Fax:402-686-2394
Practice Address - Street 1:9851 S 71ST PLZ
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133-2244
Practice Address - Country:US
Practice Address - Phone:402-686-2393
Practice Address - Fax:402-686-2394
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19761183500000X
NE11752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist