Provider Demographics
NPI:1932453529
Name:KEIMER, JEFFREY COLIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:COLIN
Last Name:KEIMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 COURT ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-4449
Mailing Address - Country:US
Mailing Address - Phone:802-388-0973
Mailing Address - Fax:802-388-4105
Practice Address - Street 1:40 COURT ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-4449
Practice Address - Country:US
Practice Address - Phone:802-388-0973
Practice Address - Fax:802-388-4105
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-03
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0078546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist