Provider Demographics
NPI:1932491925
Name:PLUMER, DEBORAH ANN (RPHV)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:PLUMER
Suffix:
Gender:F
Credentials:RPHV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1083
Mailing Address - Street 2:
Mailing Address - City:GUALALA
Mailing Address - State:CA
Mailing Address - Zip Code:95445-1083
Mailing Address - Country:US
Mailing Address - Phone:707-785-2640
Mailing Address - Fax:707-785-2640
Practice Address - Street 1:240 HAVERSACK
Practice Address - Street 2:
Practice Address - City:THE SEA RANCH
Practice Address - State:CA
Practice Address - Zip Code:95497
Practice Address - Country:US
Practice Address - Phone:707-785-2640
Practice Address - Fax:707-785-2640
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532431835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy