Provider Demographics
NPI:1245623750
Name:LUMAR, YAMMA BROWN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YAMMA
Middle Name:BROWN
Last Name:LUMAR
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 1:4565 ASHMORE CIR NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-1618
Mailing Address - Country:US
Mailing Address - Phone:404-394-9569
Mailing Address - Fax:
Practice Address - Street 1:4565 ASHMORE CIR NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-1618
Practice Address - Country:US
Practice Address - Phone:404-394-9569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-08
Last Update Date:2015-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019532183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist