Individual
STEPHEN PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 PORTLAND RD, BRIDGTON, ME 04009-1256
(207) 647-5795
(207) 647-5863
Mailing address
17 KERRI DR, CUMBERLAND, ME 04021-3228
(207) 712-6466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4493
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183500000X
—
ME
Enumeration date
12/14/2020
Last updated
12/14/2020
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