Provider Demographics
NPI:1174758734
Name:KLAASSEN, TAFFY HUBERS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAFFY
Middle Name:HUBERS
Last Name:KLAASSEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELHAVEN
Mailing Address - State:NC
Mailing Address - Zip Code:27810-1414
Mailing Address - Country:US
Mailing Address - Phone:252-943-2643
Mailing Address - Fax:252-943-2643
Practice Address - Street 1:292 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BELHAVEN
Practice Address - State:NC
Practice Address - Zip Code:27810-1414
Practice Address - Country:US
Practice Address - Phone:252-943-2643
Practice Address - Fax:252-943-2643
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist