Provider Demographics
NPI:1669565065
Name:TAFFE, DAVID JAMES (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:TAFFE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 STEWART DR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-0207
Mailing Address - Country:US
Mailing Address - Phone:605-225-8368
Mailing Address - Fax:605-225-2695
Practice Address - Street 1:201 S LLOYD ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4552
Practice Address - Country:US
Practice Address - Phone:605-225-6344
Practice Address - Fax:605-225-2695
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR4198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDR4198OtherPHARMACIST LICENSE