Provider Demographics
NPI:1205492733
Name:PLUMMER, DANIELLE R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:R
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:ELIZABETH
Other - Last Name:RAIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9064 DOVE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-1803
Mailing Address - Country:US
Mailing Address - Phone:760-846-2929
Mailing Address - Fax:
Practice Address - Street 1:9064 DOVE RIVER RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-1803
Practice Address - Country:US
Practice Address - Phone:760-846-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist