Provider Demographics
NPI:1134711559
Name:PLEMONS, ISAAC (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:PLEMONS
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 CHESTNUT TRL
Mailing Address - Street 2:
Mailing Address - City:COHUTTA
Mailing Address - State:GA
Mailing Address - Zip Code:30710-9375
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4216 CHESTNUT TRL
Practice Address - Street 2:
Practice Address - City:COHUTTA
Practice Address - State:GA
Practice Address - Zip Code:30710-9375
Practice Address - Country:US
Practice Address - Phone:706-537-9431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist