Provider Demographics
NPI:1790155000
Name:PLUMMER, CABRINI MARIE (RPH)
Entity type:Individual
Prefix:
First Name:CABRINI
Middle Name:MARIE
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 HIGHWAY 160
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KS
Mailing Address - Zip Code:67301-7841
Mailing Address - Country:US
Mailing Address - Phone:620-331-1260
Mailing Address - Fax:620-331-1262
Practice Address - Street 1:3354 HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KS
Practice Address - Zip Code:67301-7841
Practice Address - Country:US
Practice Address - Phone:620-331-1260
Practice Address - Fax:620-331-1262
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-11509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist