Provider Demographics
NPI:1710290747
Name:DU PLESSIS, ABRAHAM CHRISTOFFEL (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:CHRISTOFFEL
Last Name:DU PLESSIS
Suffix:
Gender:M
Credentials:PHARMACIST
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Mailing Address - Street 1:4787 PATRICIA DR
Mailing Address - Street 2:LUNDBAR HILLS
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-6422
Mailing Address - Country:US
Mailing Address - Phone:707-443-8039
Mailing Address - Fax:707-443-1280
Practice Address - Street 1:411 HARRIS ST
Practice Address - Street 2:HENDERSON CENTRE
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4416
Practice Address - Country:US
Practice Address - Phone:707-443-8039
Practice Address - Fax:707-443-1280
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
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Provider Licenses
StateLicense IDTaxonomies
CA62535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist