Provider Demographics
NPI:1952081978
Name:PLUMER, SAMUEL TYLER (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:TYLER
Last Name:PLUMER
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 1:10108 SPRING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9088
Mailing Address - Country:US
Mailing Address - Phone:765-480-7029
Mailing Address - Fax:
Practice Address - Street 1:2010 SEDWICK RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-4452
Practice Address - Country:US
Practice Address - Phone:919-544-5807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist